CN106456175A - Fastener cartridge comprising tissue control features - Google Patents

Fastener cartridge comprising tissue control features Download PDF

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Publication number
CN106456175A
CN106456175A CN201580032277.5A CN201580032277A CN106456175A CN 106456175 A CN106456175 A CN 106456175A CN 201580032277 A CN201580032277 A CN 201580032277A CN 106456175 A CN106456175 A CN 106456175A
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CN
China
Prior art keywords
portion
staple
cartridge
platform
tissue
Prior art date
Application number
CN201580032277.5A
Other languages
Chinese (zh)
Inventor
E·A·谢林
F·E·谢尔顿四世
J·L·哈里斯
Original Assignee
伊西康内外科有限责任公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US201461980281P priority Critical
Priority to US14/319,002 priority patent/US9877721B2/en
Application filed by 伊西康内外科有限责任公司 filed Critical 伊西康内外科有限责任公司
Priority to PCT/US2015/025855 priority patent/WO2015160877A1/en
Publication of CN106456175A publication Critical patent/CN106456175A/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07292Reinforcements for staple line, e.g. pledgets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07235Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07242Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder

Abstract

The invention discloses a fastener cartridge comprising tissue control features. The fastener cartridge can include, one, a cartridge body comprising a deck and a plurality of fastener cavities and, two, a plurality of fasteners positioned in the fastener cavities. The deck can comprise features for controlling the flow of tissue relative thereto. In some instances, the features can support the fasteners as they are ejected from the fastener cavities.

Description

包括组织控制特征结构的紧固件仓 Fastener cartridge comprising a control feature of the tissue

[0001] 相关申请的交叉引用 CROSS [0001] REFERENCE TO RELATED APPLICATIONS

[0002] 根据35U. SC § 119 (e)的规定,本非临时专利申请要求提交于2014年4月16日的名称为"FASTENING INSTRUMENTS AND FASTENING CARTRIDGES FOR USE THEREWITH" 的美国临时专利申请序列号61 /980,281的权益,该申请的全文以引用方式并入本文。 U.S. Provisional Patent [0002] The 35U. Prescribed SC § 119 (e) of the present non-provisional patent application claims filed on April 16, 2014 for "FASTENING INSTRUMENTS AND FASTENING CARTRIDGES FOR USE THEREWITH" Application Serial No. 61 equity / 980,281, the entirety of which application is incorporated herein by reference.

背景技术 Background technique

[0003] 本发明涉及缝合器械,并且在各种实施方案中,涉及用于制备一个或多个钉排的外科缝合器械。 [0003] The present invention relates to stapling instruments and, in various embodiments, relates to the preparation of one or more rows of staples in surgical stapling instruments.

[0004] 缝合器械可包括一对配合的细长钳口构件,其中每个钳口构件可适于插入患者体内并且相对于有待缝合和/或切入的组织定位。 [0004] The stapling instrument can include a pair of cooperating elongated jaw members, wherein each jaw member adapted to be inserted into a patient and with respect to be stapled and / or incised tissue localization. 在各种实施方案中,钳口构件中的一个可支撑其中容纳有至少两排横向间隔的钉的钉仓,并且另一个钳口构件可支撑具有与钉仓中的钉排对准的钉成形凹坑的砧座。 In various embodiments, the jaw members may support a accommodated therein at least two laterally spaced rows of staples of the staple cartridge, and the other jaw member can support a staple cartridge having staple forming aligned rows of staples pits anvil. 一般来讲,缝合器械还可包括推杆和刀片,所述推杆和刀片能够相对于钳口构件滑动以通过推杆上的凸轮表面和/或由推杆推压的楔形滑动件上的凸轮表面将钉从钉仓中依次顶出。 Generally, the stapling instrument can further include a blade and a push rod, the push rod and the blade relative to the jaw members to slide on the cam by the cam surfaces on the push rod and / or by the push rod of the slider wedge pressure surface sequentially eject the staples from the staple cartridge. 在至少一个实施方案中,凸轮表面可被构造成能够启动由仓承载并与钉相关联的多个钉驱动器,以便推压钉靠在砧座上并且在夹持于钳口构件之间的组织中形成横向间隔的变形钉排。 In at least one embodiment, the cam surface may be configured to initiate a plurality of staple drivers carried by the cartridge and associated with the staple, pressing the staple to the anvil against the tissue and sandwiched between the jaw members formed in laterally spaced rows of deformed staples. 在至少一个实施方案中,刀片可跟随凸轮表面并且沿着钉排之间的路线切割组织。 In at least one embodiment, the blade can follow the cam surface and cut the tissue along a line between the staple rows. 这种缝合器械的示例在名称为"SURGICAL STAPLES HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME"的美国专利7,794,475中有所公开,该专利的全部公开内容以引用方式并入本文中。 Examples of such stapling instruments are disclosed in entitled "SURGICAL STAPLES HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME" U.S. Patent No. 7,794,475, the entire disclosure of which is incorporated herein by reference in.

[0005] 上述讨论仅是为了举例说明本发明技术领域中相关技术目前的每个方面,而不应当视为对权利要求范围的否定。 [0005] The discussion above is merely for purposes of illustration each of the current technical art related art of the present invention, and should not be taken as a disavowal of claim scope.

附图说明 BRIEF DESCRIPTION

[0006] 本文所述的实施方案的各个特征在所附权利要求书中进行了详细描述。 [0006] The various features of the embodiments described herein in the appended claims is described in detail. 然而,关于操作的组织和方法的各种实施方案及其优点的各种实施方案可结合如下附图根据以下说明来加以理解: However, various embodiments and advantages of the various embodiments to organization and method of operation may be understood in conjunction with the following accompanying drawings as follows:

[0007] 图1为外科缝合器械的正视图; [0007] FIG. 1 is a front view of a surgical stapling instrument;

[0008] 图2为沿图1的线2-2截取的图1的外科缝合器械的端部执行器的剖面图; [0008] Figure 2 is taken along line 2-2 of Figure 1, taken cross-sectional view of the end effector of the surgical stapling instrument of Figure 1;

[0009] 图3为图1的端部执行器的剖面透视图; A sectional perspective view [0009] FIG. 3 is a diagram of an end effector;

[0010] 图4为图1的端部执行器的剖面图,其示出了包括在其中的呈未击发构型的钉; Cross-sectional view [0010] FIG. 1 FIG. 4 is an end effector which shows included therein form the unfired staple configuration;

[0011] 图5为示出了呈击发构型的图4的钉的示意图; [0011] FIG. 5 is a schematic diagram showing the form of the staple firing configuration of Figure 4;

[0012] 图6为示出了正用于缝合和横切组织的图1的端部执行器的示意图; [0012] FIG. 6 is a schematic diagram showing an end effector being used stapling and transecting tissue is 1;

[0013] 图7为根据至少一个实施方案的包括从仓体延伸的多个脊部的钉仓的透视图; [0013] FIG. 7 is a perspective view of a staple cartridge comprising a plurality of ridges extending from the cartridge body, at least one embodiment;

[0014] 图8为图7的钉仓的细部图; [0014] FIG. 8 is a cartridge in the detail view of FIG 7;

[0015]图8A为图7的钉仓的剖面图; [0015] FIG. 8A is a cross-sectional view of the cartridge of FIG 7;

[0016] 图9为示出了定位在限定于图7的钉仓中的钉腔内的钉的细部图; [0016] FIG. 9 is a diagram illustrating a staple cartridge positioned limited to the staple of FIG. 7 detail view of a staple cavity;

[0017] 图10为根据至少一个可供选择的实施方案的包括从仓体延伸的多个横向脊部的钉仓的局部透视图; [0017] FIG. 10 is a cartridge comprising a plurality of ridges extending laterally from the cartridge body is a partial perspective view of an embodiment of the at least one alternative;

[0018] 图11为根据至少一个可供选择的实施方案的包括从仓体延伸的多个横向脊部的钉仓的局部透视图; [0018] FIG. 11 is a cartridge comprising a plurality of ridges extending laterally from the cartridge body is a partial perspective view of an embodiment of the at least one alternative;

[0019] 图12为根据至少一个可供选择的实施方案的包括环绕限定于仓体中的钉腔开口的近侧端部和远侧端部的多个脊部的钉仓的局部透视图; [0019] a partial perspective view of a staple cartridge of the plurality of ridges proximal end and a distal end portion including surround 12 is limited to the staple cartridge body cavities in accordance with the at least one alternative embodiment of the opening;

[0020] 图13为根据至少一个可供选择的实施方案的包括环绕限定于仓体中的钉腔开口的近侧端部和远侧端部的多个脊部的钉仓的局部透视图; [0020] FIG 13 according to an alternative embodiment at least a partial perspective view of a staple cartridge including a plurality of ridges proximal end and a distal end portion defining a staple in the cartridge body surrounding the cavity opening;

[0021] 图14为根据至少一个可供选择的实施方案的包括从仓体延伸的多个滚花脊部的钉仓的局部透视图; [0021] FIG. 14 is a cartridge body comprising a plurality of knurling extending ridges staple cartridge partial perspective view of an embodiment of the at least one alternative;

[0022] 图15为根据至少一个可供选择的实施方案的包括从仓体延伸的多个滚花脊部的钉仓的局部透视图; [0022] FIG. 15 is a cartridge body comprising a plurality of knurling extending ridges staple cartridge partial perspective view of an embodiment of the at least one alternative;

[0023] 图15A为根据至少一个实施方案的角锥形滚花的透视图; [0023] FIG. 15A according to an angle of at least one embodiment of a perspective view of a tapered roller flowers;

[0024] 图15B为根据至少一个实施方案的截头圆锥形滚花的透视图; [0024] FIG. 15B according to at least one embodiment the frusto conical roller perspective view of a flower;

[0025] 图15C为根据至少一个实施方案的三角形滚花的透视图; [0025] FIG 15C a perspective view of the flower roll according to at least one embodiment of the triangle;

[0026] 图16为根据至少一个可供选择的实施方案的包括完全环绕限定于仓体中的钉腔开口的多个脊部的钉仓的局部透视图; [0026] FIG. 16 according to the at least one alternative embodiment, a partial perspective view of the staple cartridge includes a plurality of ridges defined in the cartridge body completely surrounds the opening of the staple cavity;

[0027] 图16A为根据至少一个可供选择的实施方案的包括完全环绕限定于仓体中的钉腔开口的多个脊部的钉仓的局部透视图; [0027] FIG. 16A is a cartridge comprising a plurality of ridges defined in the cartridge body completely surrounds the opening of the staple cavities a partial perspective view of an embodiment of the at least one alternative;

[0028] 图17为根据至少一个可供选择的实施方案的包括从仓体延伸的多个纵向脊部的钉仓的局部透视图; [0028] FIG. 17 is a partial perspective view comprising a plurality of staple cartridge from the cartridge body portion longitudinal ridges extending according to an embodiment of the at least one alternative;

[0029] 图18为图17的钉仓的细部图; [0029] FIG. 18 is a cartridge 17 of FIG detail view;

[0030] 图19为具有可互换轴组件的外科器械的透视图,所述可互换轴组件可操作地联接到该外科器械; [0030] FIG. 19 is a perspective view of a surgical instrument having an interchangeable shaft assembly, the interchangeable shaft assembly operably coupled to the surgical instrument;

[0031] 图20为图19的可互换轴组件和外科器械的分解组装图; [0031] FIG 20 FIG 19 is an exploded assembly view of the interchangeable shaft assembly and surgical instrument;

[0032]图21为图19和图20的外科器械的一部分的分解组装图; [0032] FIG. 21 is an exploded assembly view of a portion of FIG. 19 and FIG. 20 of the surgical instrument;

[0033]图22为另一分解组装图,示出了图19至图21的可互换轴组件和外科器械的部分; [0034]图23为根据至少一个实施方案的定位在外科器械的端部执行器中的钉仓透视图, 其中钉仓包括从钉仓的仓体延伸的多个脊部; [0033] FIG 22 is another exploded assembly view showing the shaft assembly and an interchangeable part of the surgical instrument of FIG. 19 to FIG. 21; [0034] FIG 23 is positioned according to at least one embodiment of the end of the surgical instrument a perspective view of the cartridge portion in the actuator, wherein the staple cartridge includes a plurality of ridges extending from the staple cartridge of the cartridge body;

[0035]图24为根据至少一个实施方案的钉的正视图; [0035] FIG. 24 is a front view of the staple of at least one embodiment;

[0036]图25为定位在钉仓中的钉腔内的图24的钉的正视图; 24 is a front view of the staple [0036] FIG 25 is positioned in the cavity of the staple in the staple cartridge of FIG;

[0037]图26为根据至少一个实施方案的钉的正视图; [0037] FIG. 26 is a front view of at least one embodiment of the staple embodiment;

[0038]图27为根据至少一个实施方案的非对称钉的正视图; [0038] FIG. 27 is a front view of an asymmetric embodiment the at least one staple scheme;

[0039]图28为根据至少一个实施方案的另一非对称钉的正视图; [0039] FIG. 28 is a front view of a further embodiment at least one asymmetric staple scheme;

[0040]图29为根据至少一个实施方案的另一非对称钉的正视图; [0040] FIG. 29 is a front view of a further embodiment at least one asymmetric staple scheme;

[0041]图30为示出处于部分变形状态的钉的正视图; [0041] FIG. 30 is a diagram showing the staple in a deformed state of a front portion of the map;

[0042]图31为处于完全变形状态的图30的钉的正视图; [0042] FIG. 31 is a staple in a fully deformed state of a front view of FIG 30;

[0043]图32为细长通道的底部透视图; [0043] FIG. 32 is a bottom perspective view of the elongated channel;

[0044]图33为另一细长通道的剖面透视图; [0044] FIG. 33 is a cross-sectional perspective view of another elongate channel;

[0045]图34为图33的细长通道的另一剖面图,在该细长通道中概略地示出有切割头; [0046]图35为图33和图34的细长通道的底视图; [0045] FIG. 34 is a cross-sectional view of another elongate channel of FIG. 33, the elongate channel schematically shown with a cutting head; [0046] FIG. 35 is an elongated channel 33 and a bottom view of FIG. 34 ;

[0047]图36为另一细长通道的底视图; [0047] FIG. 36 is a bottom view of another elongate channel;

[0048]图37为另一细长通道的底视图; [0048] FIG. 37 is a bottom view of another elongate channel;

[0049]图38为另一细长通道的底视图; [0049] FIG. 38 is a bottom view of another elongate channel;

[0050] 图39为另一细长通道的底视图; [0050] FIG. 39 is a bottom view of another elongate channel;

[0051] 图40为细长通道和切割头的局部侧视图,其中细长通道以剖面形式示出且外科钉仓的部分为清楚起见而被省略且其中切割头处于解锁位置且准备好击发; [0051] FIG. 40 is a partial side view of an elongate channel and the cutting head, wherein the elongated channel shown in cross-section and a portion of the surgical staple cartridge are omitted for clarity and wherein the cutting head is in the unlocked position and ready for firing;

[0052]图41为图40的细长通道和切割头的另一局部侧视图,其中切割头偏置在锁定位置; [0052] FIG. 41 is an elongated channel 40 and the other partial side view of the cutting head, wherein the cutting head is biased in a locked position;

[0053] 图42为切割头和击发杆实施方案的透视图; [0053] FIG. 42 is a perspective view of the cutting head of the embodiment and the firing rod;

[0054] 图43为另一端部执行器和轴布置的透视图; [0054] FIG. 43 is a perspective view of another end effector and shaft arrangement;

[0055]图44为图43的端部执行器和轴布置的另一透视图,其中为了清楚起见,已省略外轴的一部分; [0055] FIG 44 FIG 43 is another perspective view of the actuator and an end portion of the shaft is disposed, for clarity, a portion of the outer shaft has been omitted;

[0056] 图45为另一端部执行器和轴布置的局部侧视图; [0056] FIG. 45 is a partial side view of another end effector and shaft arrangement;

[0057]图46为端部执行器布置的局部侧正视图,其中为了清楚起见,已省略细长通道; [0058]图47为砧座实施方案的顶视图; [0057] FIG. 46 is an end effector disposed partial side elevation view, for clarity, have been omitted elongate channel; [0058] FIG. 47 is a top view of an embodiment of an anvil;

[0059]图48为另一砧座实施方案的顶视图; [0059] FIG. 48 is a top view of another embodiment of the anvil;

[0060]图49为根据至少一个实施方案的外科器械的端部执行器的剖面图,所述端部执行器包括钉仓,所述钉仓包括阶梯式仓平台; [0060] FIG. 49 is a cross sectional view of the end effector at least one embodiment of the surgical instrument of embodiment, the end effector includes a staple cartridge, the staple cartridge comprises a cartridge stepped platform;

[0061]图49A为图49中所示的同一剖面图,示出了阶梯式仓平台与跟其相对地定位的砧座之间的各种间隙高度; [0061] FIG. 49A is a sectional view of the same shown in FIG. 49, shows various stepped gap height between the cartridge and the anvil with the platform positioned opposite;

[0062]图50为根据至少一个实施方案的非对称钉的正视图; [0062] FIG. 50 is a front view of a staple asymmetric least one embodiment of the;

[0063] 图51为根据至少一个实施方案的另一非对称钉的正视图; [0063] FIG. 51 is a front view of a further embodiment at least one asymmetric staple scheme;

[0064] 图52为根据至少一个实施方案的另一非对称钉的正视图; [0064] FIG. 52 is a front view of a further embodiment at least one asymmetric staple scheme;

[0065] 图53为根据至少一个实施方案的钉滑动件的透视图; [0065] FIG. 53 is a perspective view of the staple slider according to at least one embodiment;

[0066] 图54为图53的钉滑动件的顶视图; [0066] FIG. 54 is a top view of the staple of FIG. 53, the sliding member;

[0067] 图54A为图23的钉仓的局部顶视图,示出了处于近侧、未击发位置的图53的钉滑动件; [0067] FIG 54A is a partial top view of the staple cartridge of FIG. 23, is shown in a proximal, unfired position of the slide member 53 of FIG staple;

[0068] 图54B为图23的钉仓的局部剖面透视图; [0068] FIG. 54B is a partial cross-sectional perspective view of the staple cartridge of FIG. 23;

[0069] 图54C为图23的钉仓的局部后透视图; [0069] FIG 54C is a partial rear perspective view of the cartridge of Figure 23;

[0070] 图54D为图53的钉滑动件的透视图; [0070] FIG 54D is a perspective view of the staple of FIG. 53 of the sliding member;

[0071] 图55为图23的钉仓的远侧端部的透视图; [0071] FIG. 55 is a perspective view of the staple cartridge 23 in view of the distal end portion;

[0072]图55A为从图23的钉仓延伸的突出部的透视图; [0072] FIG. 55A is a perspective view of projecting portions extending from the staple cartridge of FIG. 23;

[0073] 图56为根据至少一个实施方案的包括从钉仓平台延伸的脊部图案的钉仓的透视图; [0073] FIG 56 includes a staple cartridge according to the pattern of the ridge portion extending from the staple cartridge deck a perspective view of at least one embodiment;

[0074] 图57为图56的钉仓的脊部图案和平台的细部图; [0074] FIG 57 is a detail of a pattern of ridges and platform of the staple cartridge of FIG. 56;

[0075]图58为根据至少一个实施方案的包括从钉仓平台延伸的脊部图案的钉仓的局部透视图; [0075] FIG 58 includes a staple cartridge according to the pattern of the ridge portion extending from the staple cartridge deck least a partial perspective view of the embodiment;

[0076]图59为根据至少一个实施方案的钉仓的局部透视图,所述钉仓包括限定于钉仓平台中的突出部图案; [0076] FIG. 59 is a partial perspective view of at least one embodiment of the staple cartridge of embodiment, the cartridge comprises a platform defining a staple cartridge in the protrusion pattern;

[0077]图60为图59所示的突出部的细部图; [0077] FIG 60 is a detail of a projecting portion shown in FIG. 59;

[0078]图61为根据至少一个实施方案的钉仓的局部透视图,所述钉仓包括从钉仓平台延伸的穹顶图案; [0078] FIG. 61 is a partial perspective view of a staple cartridge according to at least one embodiment, the cartridge comprises a dome pattern extending from the staple cartridge deck;

[0079]图62为图61所示的穹顶的细部图; [0079] FIG 62 is a detail view of the dome shown in Figure 61;

[0080]图63为根据至少一个实施方案的从钉仓平台延伸的突出部的局部透视图; [0080] FIG. 63 is a partial perspective view of a projecting portion extending from the staple cartridge deck least one embodiment;

[0081]图64为外科钉仓和仓盖的分解透视图; [0081] FIG. 64 is an exploded perspective view of a staple cartridge and a surgical cover;

[0082]图65为图64的钉仓和仓盖的剖面图,其中仓盖安装在钉仓上; [0082] FIG 65 FIG 64 is a sectional view of a staple cartridge and a cover, wherein the cover is mounted on the cartridge;

[0083]图66为根据至少一个实施方案的外科缝合器械的砧座的透视图,该砧座包括从其延伸的突出部; [0083] FIG. 66 is a perspective view of the anvil of the surgical stapling instrument of at least one embodiment, the anvil includes a projection extending therefrom;

[0084]图67为图66所示的突出部的细部图; [0084] FIG 67 is a detail of a projecting portion 66 shown in FIG;

[0085] 图68为根据至少一个实施方案的外科缝合器械的站座的局部透视图,该站座包括从其延伸的突出部; [0085] FIG. 68 is a partial perspective view of a surgical stapling instrument base station to at least one embodiment, the base station includes a projection extending therefrom;

[0086]图69为根据至少一个实施方案的外科缝合器械的砧座的剖面图,该砧座包括与第一排钉凹坑相邻的具有第一高度的第一突出部阵列、与第二排钉凹坑相邻的具有第二高度的第二突出部阵列、以及与第三排钉凹坑相邻的具有第三高度的第三突出部阵列; [0086] FIG. 69 is a cross-sectional view of the anvil of at least one embodiment of the surgical stapling instrument of embodiment, the anvil includes rows of staple pockets adjacent to the first projecting portion of the first array having a first height, and a second the second projection array having a second height adjacent to the pit row of staples, and the third row and the third protruding portion arrays adjacent staple pockets having a third height;

[0087]图70为根据至少一个实施方案的钉仓的透视图,所述钉仓包括从钉仓平台延伸的突出部; [0087] FIG. 70 is a perspective view of a staple cartridge according to at least one embodiment, the staple cartridge includes a protrusion extending from the staple cartridge deck;

[0088] 图71为阶梯式平台表面和图70的突出部的远侧端部的细部图; [0088] FIG. 71 is a stepped surface of the platform 70 and the detail view of the distal end of the projecting portion;

[0089] 图72为阶梯式平台表面和图70的突出部的近侧端部的细部图; [0089] FIG. 72 is a stepped surface of the platform and detailed views of the proximal end of the projecting portion 70 in FIG;

[0090] 图73为根据至少一个实施方案的钉仓的透视图,所述钉仓包括从钉仓的阶梯式平台表面延伸的突出部; [0090] FIG. 73 is a perspective view of a staple cartridge according to at least one embodiment, the staple cartridge from the staple cartridge comprises a stepped portion projecting surface extending platform;

[0091] 图74为根据至少一个实施方案的钉仓的局部透视图; [0091] FIG. 74 is a partial perspective view of a staple cartridge according to at least one embodiment;

[0092]图75为根据至少一个实施方案的外科缝合器械的端部执行器的剖面图,所述端部执行器包括多个可部署的组织接合构件; [0092] FIG. 75 is a cross sectional view of the end effector of the surgical stapling instrument of at least one embodiment, the end effector comprises a plurality of deployable tissue engaging member;

[0093] 图76为根据至少一个实施方案的外科缝合器械的端部执行器的剖面图,所述端部执行器包括从阶梯式仓平台表面延伸的多个突出部; [0093] FIG. 76 is a cross sectional view of the end effector of the surgical stapling instrument of at least one embodiment, the end effector includes a cartridge from the internet a plurality of stepped surfaces extending protrusions;

[0094] 图77为根据至少一个实施方案的钉仓的仓平台以及从平台延伸的突出部的剖面图,所述平台被构造成能够在从钉腔部署钉时支撑钉; [0094] FIG. 77 is a sectional view of a staple cartridge according to at least one embodiment of the cartridge and the projecting platform portion extending from a platform configured to support a staple deploying the staples from the staple when the chamber;

[0095] 图78为根据至少一个实施方案的钉仓的另一仓平台以及从平台延伸的突出部的剖面图,所述平台被构造成能够在从钉腔部署钉时支撑钉; [0095] FIG. 78 is a cross sectional view of another staple cartridge deck at least one embodiment of the cartridge and the projecting portion extending from a platform configured to support a staple deploying the staples from the staple when the chamber;

[0096] 图79为根据至少一个实施方案的钉仓的仓平台的局部平面图,所述钉仓包括从平台延伸的突出部,平台被构造成能够支撑可移除地存储在钉腔中的钉,所述钉腔限定在钉仓中; [0096] FIG. 79 is a partial plan view of a staple cartridge the cartridge platform at least one embodiment, the cartridge includes a protrusion extending from the platform, the platform is capable of supporting configured to be removably store staples in the staple chamber the staple cavity defined in a staple cartridge;

[0097]图80为根据至少一个实施方案的包括第一突出部和第二突出部的钉仓的局部剖面图,第一突出部被构造成能够支撑可移除地定位在钉腔内的钉的第一腿部,第二突出部被构造成能够支撑钉的第二腿部; [0097] FIG. 80 is a partial sectional view of a staple cartridge includes a first portion and a second projecting portion projecting to at least one embodiment, the first projecting portion is configured to be removably supporting a staple positioned in the staple cavities a first leg portion, the second projecting portion is configured to support a staple of the second leg portion;

[0098] 图81为根据至少一个实施方案的钉仓的远侧端部的透视图,所述钉仓包括平台、 限定于所述平台中的多个钉腔和从所述平台延伸的各种各样的突出部; [0098] FIG. 81 is a perspective view of the distal end of the staple cartridge of at least one embodiment, the cartridge comprises a platform on said platform defining a plurality of cavities and a variety of staple extending from the platform every projecting portion;

[0099] 图82为根据至少一个实施方案的钉仓的局部透视图,所述钉仓包括平台、限定于平台中的多个钉腔和从平台延伸的多个突出部,所述突出部环绕一些钉腔的端部但不环绕其它钉腔的端部。 [0099] FIG. 82 is a partial perspective view of a staple cartridge according to at least one embodiment, the staple cartridge includes a plurality of projecting portions platform defined in the platform and a plurality of staple cavities extending from the platform, surrounded by the projecting portion Some end portion of the staple around the chamber but not the other end portion of the staple cavities.

[0100]图83为根据至少一个实施方案的钉仓的局部透视图,所述钉仓包括平台、限定于平台中的多个钉腔和从平台延伸的多个突出部,所述突出部环绕钉腔的某些端部但不环绕其它端部。 [0100] FIG. 83 is a partial perspective view of a staple cartridge according to at least one embodiment, the cartridge comprises a platform, the platform defining a plurality of staple cavities and a plurality of projecting portions extending from the platform, surrounded by the projecting portion some end staple cavity surrounding, but not the other end portion.

[0101] 图84为根据至少一个实施方案的钉仓的局部剖面图,所述钉仓包括:平台和限定于所述平台中的多个钉腔;定位在所述钉腔中的钉阵列,所述钉阵列在钉仓的近侧端部和远侧端部之间延伸,其中所述钉阵列包括各种各样的钉;和从所述平台延伸的突出部阵列, 所述突出部阵列在所述钉仓的所述近侧端部和所述远侧端部之间延伸,其中所述突出部阵列具有各种各样的尚度; [0101] FIG. 84 is a partial sectional view of a staple cartridge embodiment of at least one embodiment, the staple cartridge comprising: a platform defining a plurality of staple cavities and said platform; array of staples positioned in said staple chamber, the staple array between the proximal end and a distal end portion extending staple cartridge, wherein said staple array comprises a wide variety of staples; and an array of protrusions extending from said platform, said projection array between the proximal end of the cartridge and said distal end portion extends, wherein the projecting portion of the array have a variety of still;

[0102] 图85A为根据至少一个实施方案的钉仓平台和从所述平台延伸的突出部的局部剖面图,其中所述突出部由柔顺材料构成且被示出处于未压缩状态; [0102] FIG 85A is a partial sectional view of a staple cartridge embodiment of the platform and at least one projecting portion extending from the platform, wherein the projecting portion is made of a compliant material and is shown in an uncompressed state;

[0103] 图85B为图85A的钉仓平台和突出部的局部剖面图,示出了处于部分压缩状态的突出部; [0103] FIG. 85B is a partial cross-sectional view of a staple cartridge deck 85A and the protruding portion, the protruding portion is shown in a partially compressed state;

[0104] 图85C为图85A的钉仓平台和突出部的局部剖面图,示出了处于压缩状态的突出部; [0104] FIG 85C is a partial cross-sectional view of a staple cartridge deck 85A and the protruding portion, the protruding portion is shown in a compressed state;

[0105] 图86A为根据至少一个实施方案的钉仓的局部剖面图,所述钉仓包括由柔性材料组成的处于未弯曲状态的仓体; [0105] FIG 86A is a partial cross-sectional view of at least one embodiment of the staple cartridge of embodiment, the cartridge comprises a non-bent state in the cartridge body made of flexible material;

[0106] 图86B为被示出处于弯曲状态的图86A的钉仓的局部剖面图; [0106] FIG. 86B is a partial sectional view is shown in FIG bent state of the staple cartridge 86A;

[0107] 图87为根据至少一个实施方案的砧座的透视图,所述砧座包括从砧座延伸的多个突出部; [0107] FIG. 87 is a perspective view of the anvil of at least one embodiment, the anvil includes a plurality of projecting portions extending from the anvil;

[0108] 图88为图87的砧座的一部分的细部图; [0108] FIG 88 is a detail view of a portion of the anvil of Figure 87;

[0109] 图89为根据至少一个实施方案的砧座的局部透视图,所述砧座包括从砧座延伸的多个突出部; [0109] FIG. 89 is a partial perspective view of the anvil of at least one embodiment, the anvil includes an anvil extending from a plurality of projecting portions;

[0110] 图90为根据至少一个实施方案的组件的透视图,所述组件包括钉驱动器和可移动凹坑扩展器; [0110] FIG. 90 is a perspective view of an assembly of at least one embodiment, the staple driver assembly comprising a pit and a movable expander;

[0111] 图91为图90的组件的分解图; [0111] FIG. 91 is an exploded view of the assembly of FIG 90;

[0112]图92为使用图90的组件的钉仓的剖面透视图,所述组件被示出处于未部署状态; A sectional perspective view [0112] FIG assembly of Figure 92 using a staple cartridge 90, the assembly is shown in a non-deployed state;

[0113] 图93为图92的钉仓的剖面正视图,示出了处于部署状态的图90的组件以及处于未部署状态的图90的组件; [0113] FIG. 93 is a cross-sectional elevation view of the staple cartridge of FIG. 92, FIG. 90 shows the assembly of components and in the non-deployed state in a deployed state of FIG 90;

[0114] 图94为外科钉驱动器的顶视图; [0114] FIG. 94 is a surgical staple drive a top view;

[0115] 图95为图94的外科钉驱动器的透视图; [0115] FIG. 95 is a perspective view of a surgical staple driver of FIG 94;

[0116] 图96为另一外科钉驱动器的透视图; [0116] FIG. 96 is a perspective view of another surgical staple driver;

[0117] 图97为位于外科钉仓的一部分中的钉驱动器凹坑的顶视图; [0117] FIG. 97 is a top view of a portion of the surgical staple cartridge in the staple drivers pits;

[0118] 图98为根据至少一个实施方案的砧座的正视图,所述砧座包括从砧座延伸的具有不同高度的突出部; [0118] FIG. 98 is a front view of at least one embodiment of the anvil of the embodiment, the anvil includes a projecting portion having different heights extending from the anvil;

[0119]图99为根据至少一个实施方案的紧固件仓的透视图; [0119] FIG. 99 is a perspective view of a fastener cartridge according to at least one embodiment;

[0120]图100为图99的紧固件仓的平面图; [0120] FIG. 100 is a plan view of the fastener cartridge 99;

[0121] 图101为图99的紧固件仓的近侧端部的局部透视图;并且 [0121] 101 a partial perspective view of the proximal end portion 99 of the fastener cartridge of Figure 1; and

[0122] 图102为图99的紧固件仓的近侧端部的局部平面图。 [0122] FIG. 102 is a partial plan view of the fastener cartridge 99 of the proximal end portion.

[0123] 贯穿多个视图,对应的参考符号指示对应的部件。 [0123] throughout the several views, corresponding reference symbols indicate corresponding parts. 本文示出的范例以一种形式示出了本发明的各种实施方案,不应将这种范例理解为是以任何方式限制本发明的范围。 Examples shown herein illustrates one form various embodiments of the present invention, and such exemplifications are not to be construed as in any way limiting the scope of the present invention.

具体实施方式 Detailed ways

[0124] 本申请的申请人拥有以下专利申请,所述专利申请与本申请同一天提交并且全文各自以引用方式并入本文: [0124] The applicant of the present application have the following patent applications, the patent application filed on the same day as the present application and is incorporated by reference in their entirety herein:

[0125] 名称为"FASTENER CARTRIDGES INCLUDING EXTENSIONS HAVING DIFFERENT CONFIGURATIONS"(代理人案卷号END7460USNP/140136)的美国专利申请序列号_; [0125] entitled "FASTENER CARTRIDGES INCLUDING EXTENSIONS HAVING DIFFERENT CONFIGURATIONS" (Attorney Docket No. END7460USNP / 140136) U.S. Patent Application Serial No. _;

[0126] 名称为"FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES"(代理人案卷号END7461USNP/140137)的美国专利申请序列号_; [0126] entitled "FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES" (Attorney Docket No. END7461USNP / 140137) U.S. Patent Application Serial No. _;

[0127] 名称为"END EFFECTOR COMPRISING AN ANVIL INCLUDING PROJECTIONS EXTENDING THEREFROM"(代理人案卷号END7462USNP/140138)的美国专利申请序列号_; [0127] entitled "END EFFECTOR COMPRISING AN ANVIL INCLUDING PROJECTIONS EXTENDING THEREFROM" (Attorney Docket No. END7462USNP / 140138) U.S. Patent Application Serial No. _;

[0128] 名称为"SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZING ARRANGEMENTS"(代理人案卷号END7463USNP/140139)的美国专利申请序列号_; [0128] entitled "SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZING ARRANGEMENTS" (Attorney Docket No. END7463USNP / 140139) U.S. Patent Application Serial No. _;

[0129] 名称为"SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS"(代理人案卷号END7464USNP/140140)的美国专利申请序列号_; [0129] entitled "SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS" (Attorney Docket No. END7464USNP / 140140) U.S. Patent Application Serial No. _;

[0130] 名称为"FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS"(代理人案卷号END7465USNP/140141)的美国专利申请序列号_; [0130] entitled "FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS" (Attorney Docket No. END7465USNP / 140141) U.S. Patent Application Serial No. _;

[0131] 名称为"FASTENER CARTRIDGE COMPRISING DEPLOYABLE TISSUE ENGAGING MEMBERS"(代理人案卷号END7466USNP/140142)的美国专利申请序列号_; [0131] entitled "FASTENER CARTRIDGE COMPRISING DEPLOYABLE TISSUE ENGAGING MEMBERS" (Attorney Docket No. END7466USNP / 140142) U.S. Patent Application Serial No. _;

[0132] 名称为"FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVER ARRANGEMENTS"(代理人案卷号END7468USNP/140144)的美国专利申请序列号______; 以及 [0132] entitled "FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVER ARRANGEMENTS" (Attorney Docket No. END7468USNP / 140144) U.S. Patent Application Serial No. ______; and

[0133] 名称为"FASTENER CARTRIDGE INCLUDING A LAYER ATTACHED THERETO"(代理人案卷号END7469USNP/140145)的美国专利申请序列号_。 [0133] entitled "FASTENER CARTRIDGE INCLUDING A LAYER ATTACHED THERETO" (Attorney Docket No. END7469USNP / 140145) U.S. Patent Application Serial No. _.

[0134] 本申请的申请人还拥有提交于2013年3月1日的以下专利申请,并且其中每一个各自全文以引用的方式并入本文: [0134] The applicant of the present application also has the following patent applications filed on March 1, 2013, and wherein each respective entirety is incorporated herein by reference:

[0135] 名称为"ARTICULATABLE SURGICAL INSTRUMENTS WITH ⑶NDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION"的美国专利申请序列号13/782,295; [0135] entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH ⑶NDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION" U.S. Patent Application Serial No. 13 / 782,295;

[0136] 名称为"ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS" 的美国专利申请序列号13/782,323; [0136] entitled "ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,323;

[0137] 名称为"THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS"的美国专利申请序列号13/782,338; [0137] entitled "THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,338;

[0138] 名称为"ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT"的美国专利申请序列号13/782,499; [0138] entitled "ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT" U.S. Patent Application Serial No. 13 / 782,499;

[0139] 名称为"MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/782,460; [0139] entitled "MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,460;

[0140] 名称为"JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS" 的美国专利申请序列号13/782,358; [0140] entitled "JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 782,358;

[0141] 名称为"SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR"的美国专利申请序列号13/782,481; [0141] entitled "SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR" U.S. Patent Application Serial No. 13 / 782,481;

[0142] 名称为"CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE 頂PLEMENT PORT IONS"的美国专利申请序列号13/782,518; [0142] entitled "CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE top PLEMENT PORT IONS" U.S. Patent Application Serial No. 13 / 782,518;

[0143] 名称为"ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM"的美国专利申请序列号13/782,375;以及 [0143] entitled "ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM" U.S. Patent Application Serial No. 13 / 782,375; and

[0144] 名称为"SURGICAL INSTRUMENT SOFT STOP"的美国专利申请序列号13/782,536。 [0144] entitled "SURGICAL INSTRUMENT SOFT STOP" U.S. Patent Application Serial No. 13 / 782,536.

[0145] 本申请的申请人还拥有提交于2013年3月14日的以下专利申请,并且其中每一个各自全文以引用的方式并入本文: [0145] The applicant of the present application also has the following patent applications filed on March 14, 2013, and wherein each respective entirety is incorporated herein by reference:

[0146] 名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" 的美国专利申请序列号13/803,097; [0146] entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" U.S. Patent Application Serial No. 13 / 803,097;

[0147] 名称为"CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,193; [0147] entitled "CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,193;

[0148] 名称为"INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,053; [0148] entitled "INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,053;

[0149] 名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086; [0149] entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" U.S. Patent Application Serial No. 13 / 803,086;

[0150] 名称为"SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,210; [0150] entitled "SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,210;

[0151] 名称为"MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT"的美国专利申请序列号13/803,148; [0151] entitled "MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,148;

[0152] 名称为"DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,066; [0152] entitled "DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,066;

[0153] 名称为"ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,117; [0153] entitled "ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,117;

[0154] 名称为"DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS"的美国专利申请序列号13/803,130;以及 [0154] entitled "DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 13 / 803,130; and

[0155] 名称为"METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT" 的美国专利申请序列号13/803,159。 [0155] entitled "METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT" U.S. Patent Application Serial No. 13 / 803,159.

[0156] 本申请的申请人还拥有提交于2014年3月26日的以下专利申请,并且其中每一个各自全文以引用的方式并入本文: [0156] The applicant of the present application also has the following patent applications filed on March 26, 2014, and wherein each respective entirety is incorporated herein by reference:

[0157] 名称为"POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS"的美国专利申请序列号14/226,106; [0157] entitled "POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 14 / 226,106;

[0158] 名称为"STERILIZATION VERIFICATION CIRCUIT"的美国专利申请序列号14/226, 099; [0158] entitled "STERILIZATION VERIFICATION CIRCUIT" U.S. Patent Application Serial No. 14/226, 099;

[0159] 名称为"VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT" 的美国专利申请序列号14/226,094; [0159] entitled "VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT" U.S. Patent Application Serial No. 14 / 226,094;

[0160] 名称为"POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL"的美国专利申请序列号14/226,117; [0160] entitled "POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL" U.S. Patent Application Serial No. 14 / 226,117;

[0161] 名称为"MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES"的美国专利申请序列号14/226,075; [0161] entitled "MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES" U.S. Patent Application Serial No. 14 / 226,075;

[0162] 名称为"FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS"的美国专利申请序列号14/226,093; [0162] entitled "FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 14 / 226,093;

[0163] 名称为"SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION" 的美国专利申请序列号14/226,116; [0163] entitled "SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION" U.S. Patent Application Serial No. 14 / 226,116;

[0164] 名称为"SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR" 的美国专利申请序列号14/226,071; [0164] entitled "SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR" U.S. Patent Application Serial No. 14 / 226,071;

[0165] 名称为"SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS" 的美国专利申请序列号14/226,097; [0165] entitled "SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS" U.S. Patent Application Serial No. 14 / 226,097;

[0166] 名称为"INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS" 的美国专利申请序列号14/226,126; [0166] entitled "INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 14 / 226,126;

[0167] 名称为"MODULAR SURGICAL INSTRUMENT SYSTEM"的美国专利申请序列号14/226, 133; [0167] entitled "MODULAR SURGICAL INSTRUMENT SYSTEM" U.S. Patent Application Serial No. 14/226, 133;

[0168] 名称为"SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT"的美国专利申请序列号14/226,081; [0168] entitled "SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT" U.S. Patent Application Serial No. 14 / 226,081;

[0169] 名称为"POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION"的美国专利申请序列号14/226,076; [0169] entitled "POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION" U.S. Patent Application Serial No. 14 / 226,076;

[0170] 名称为"SURGICAL STAPLING INSTRUMENT SYSTEM" 的美国专利申请序列号14/ 226,111;以及 [0170] entitled "SURGICAL STAPLING INSTRUMENT SYSTEM" U.S. Patent Application Serial No. 14 / 226,111; and

[0171] 名称为"SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT" 的美国专利申请序列号14/226,125; [0171] entitled "SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT" U.S. Patent Application Serial No. 14 / 226,125;

[0172] 本申请的申请人还拥有在下文中标识的美国专利申请,这些美国专利申请各自全文以引用方式并入本文: [0172] present applicant has also identified U.S. Patent Application Hereinafter, these U.S. patent applications are each incorporated herein by reference in its entirety:

[0173] 名称为"SURGICAL INSTRUMENTS WITH RECONFIGURABLE SHAFT SEGMENTS"的美国专利申请序列号12/894,311 (现为美国专利公布2012/0080496); [0173] entitled "SURGICAL INSTRUMENTS WITH RECONFIGURABLE SHAFT SEGMENTS" U.S. Patent Application Serial No. 12 / 894,311 (now U.S. Patent Publication 2012/0080496);

[0174] 名称为"SURGICAL STAPLE CARTRIDGES SUPPORTING N0N-LINEARLY ARRANGED STAPLES AND SURGICAL STAPLING INSTRUMENTS WITH COMMON STAPLE-FORMING POCKETS" 的美国专利申请序列号12/894,340 (现为美国专利公布2012/0080482); [0174] entitled "SURGICAL STAPLE CARTRIDGES SUPPORTING N0N-LINEARLY ARRANGED STAPLES AND SURGICAL STAPLING INSTRUMENTS WITH COMMON STAPLE-FORMING POCKETS" U.S. Patent Application Serial No. 12 / 894,340 (now U.S. Patent Publication 2012/0080482);

[0175] 名称为"JAW CLOSURE ARRANGEMENTS FOR SURGICAL INSTRUMENTS"的美国专利申请序列号12/894,327 (现为美国专利公布2012/0080499); [0175] entitled "JAW CLOSURE ARRANGEMENTS FOR SURGICAL INSTRUMENTS" U.S. Patent Application Serial No. 12 / 894,327 (now U.S. Patent Publication 2012/0080499);

[0176] 名称为"SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT AND TISSUE CUTTING SYSTEMS" 的美国专利申请序列号12/894,351 (现为美国专利公布2012/0080502); [0176] entitled "SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT AND TISSUE CUTTING SYSTEMS" U.S. Patent Application Serial No. 12 / 894,351 (now U.S. Patent Publication 2012/0080502);

[0177] 名称为"IMPLANTABLE FASTENER CARTRIDGE HAVING A NON-UNIFORM ARRANGEMENT"的美国专利申请序列号12/894,338 (现为美国专利公布2012/0080481); [0177] entitled "IMPLANTABLE FASTENER CARTRIDGE HAVING A NON-UNIFORM ARRANGEMENT" U.S. Patent Application Serial No. 12 / 894,338 (now U.S. Patent Publication 2012/0080481);

[0178] 名称为"頂PLANTABLE FASTENER CARTRIDGE COMPRISING A SUPPORT RETAINER" 的美国专利申请序列号12/894,369 (现为美国专利公布2012/0080344); [0178] entitled "Top PLANTABLE FASTENER CARTRIDGE COMPRISING A SUPPORT RETAINER" U.S. Patent Application Serial No. 12 / 894,369 (now U.S. Patent Publication 2012/0080344);

[0179] 名称为"頂PLANTABLE FASTENER CARTRIDGE COMPRISING MULTIPLE LAYERS"的美国专利申请序列号12/894,312 (现为美国专利公布2012/0080479); [0179] entitled "Top PLANTABLE FASTENER CARTRIDGE COMPRISING MULTIPLE LAYERS" U.S. Patent Application Serial No. 12 / 894,312 (now U.S. Patent Publication 2012/0080479);

[0180] 名称为"SELECTIVELY ORIENTABLE MPLANTABLE FASTENER CARTRIDGE" 的美国专利申请序列号12/894,377 (现为美国专利8,393,514); [0180] entitled "SELECTIVELY ORIENTABLE MPLANTABLE FASTENER CARTRIDGE" U.S. Patent Application Serial No. 12 / 894,377 (now U.S. Patent No. 8,393,514);

[0181] 名称为"SURGICAL STAPLING INSTRUMENT WITH COMPACT ARTICULATION CONTROL ARRANGEMENT"的美国专利申请序列号12/894,339 (现为美国专利公布2012/0080500); [0181] entitled "SURGICAL STAPLING INSTRUMENT WITH COMPACT ARTICULATION CONTROL ARRANGEMENT" U.S. Patent Application Serial No. 12 / 894,339 (now U.S. Patent Publication 2012/0080500);

[0182] 名称为"SURGICAL STAPLING INSTRUMENT WITH A VARIABLE STAPLE FORMING SYSTEM"的美国专利申请序列号12/894,360 (现为美国专利公布2012/0080484); [0182] entitled "SURGICAL STAPLING INSTRUMENT WITH A VARIABLE STAPLE FORMING SYSTEM" U.S. Patent Application Serial No. 12 / 894,360 (now U.S. Patent Publication 2012/0080484);

[0183] 名称为"SURGICAL STAPLING INSTRUMENT WITH INTERCHANGEABLE STAPLE CARTRIDGE ARRANGEMENTS"的美国专利申请序列号12/894,322 (现为美国专利8,740,034); [0183] entitled "SURGICAL STAPLING INSTRUMENT WITH INTERCHANGEABLE STAPLE CARTRIDGE ARRANGEMENTS" U.S. Patent Application Serial No. 12 / 894,322 (now U.S. Patent No. 8,740,034);

[0184] 名称为"SURGICAL STAPLE CARTRIDGES WITH DETACHABLE SUPPORT STRUCTURES" 的美国专利申请序列号12/894,350 (现为美国专利公布2012/0080478); [0184] entitled "SURGICAL STAPLE CARTRIDGES WITH DETACHABLE SUPPORT STRUCTURES" U.S. Patent Application Serial No. 12 / 894,350 (now U.S. Patent Publication 2012/0080478);

[0185] 名称为"IMPLANTABLE FASTENER CARTRIDGE COMPRISING BI0ABS0RBABLE LAYERS"的美国专利申请序列号12/894,383 (现为美国专利8,752,699); [0185] entitled "IMPLANTABLE FASTENER CARTRIDGE COMPRISING BI0ABS0RBABLE LAYERS" U.S. Patent Application Serial No. 12 / 894,383 (now U.S. Patent No. 8,752,699);

[0186] 名称为"COMPRESSIBLE FASTENER CARTRIDGE"的美国专利申请序列号12/894,389 (现为美国专利8,740,037); [0186] entitled "COMPRESSIBLE FASTENER CARTRIDGE" U.S. Patent Application Serial No. 12 / 894,389 (now U.S. Patent No. 8,740,037);

[0187] 名称为"FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT" 的美国专利申请序列号12/894,345 (现为美国专利公布2012/0080483); [0187] entitled "FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT" U.S. Patent Application Serial No. 12 / 894,345 (now U.S. Patent Publication 2012/0080483);

[0188] 名称为"COLLAPSIBLE FASTENER CARTRIDGE"的美国专利申请序列号12/894,306 (现为美国专利公布2012/0080332); [0188] entitled "COLLAPSIBLE FASTENER CARTRIDGE" U.S. Patent Application Serial No. 12 / 894,306 (now U.S. Patent Publication 2012/0080332);

[0189] 名称为"FASTENER SYSTEM COMPRISING A PLURALITY OF CONNECTED RETENTION MATRIX ELEMENTS"的美国专利申请序列号12/894,318 (现为美国专利公布2012/0080480); [0189] entitled "FASTENER SYSTEM COMPRISING A PLURALITY OF CONNECTED RETENTION MATRIX ELEMENTS" U.S. Patent Application Serial No. 12 / 894,318 (now U.S. Patent Publication 2012/0080480);

[0190] 名称为"FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND AN ALIGNMENT MATRIX"的美国专利申请序列号12/894,330 (现为美国专利8,757,465); [0190] entitled "FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND AN ALIGNMENT MATRIX" U.S. Patent Application Serial No. 12 / 894,330 (now U.S. Patent No. 8,757,465);

[0191] 名称为"FASTENER SYSTEM COMPRISING A RETENTION MATRIX" 的美国专利申请序列号12/894,361 (现为美国专利8,529,600); [0191] entitled "FASTENER SYSTEM COMPRISING A RETENTION MATRIX" U.S. Patent Application Serial No. 12 / 894,361 (now U.S. Patent No. 8,529,600);

[0192] 名称为"FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX"的美国专利申请序列号12/894,367(现为美国专利公布2012/0080485); [0192] entitled "FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX" U.S. Patent Application Serial No. 12 / 894,367 (now U.S. Patent Publication 2012/0080485);

[0193] 名称为"FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND A COVER"的美国专利申请序列号12/894,388 (现为美国专利8,474,677); [0193] entitled "FASTENER SYSTEM COMPRISING A RETENTION MATRIX AND A COVER" U.S. Patent Application Serial No. 12 / 894,388 (now U.S. Patent No. 8,474,677);

[0194] 名称为"FASTENER SYSTEM COMPRISING A PLURALITY OF FASTENER CARTRIDGES" 的美国专利申请序列号12/894,376 (现为美国专利公布2012/0080486); [0194] entitled "FASTENER SYSTEM COMPRISING A PLURALITY OF FASTENER CARTRIDGES" U.S. Patent Application Serial No. 12 / 894,376 (now U.S. Patent Publication 2012/0080486);

[0195] 名称为"SURGICAL STAPLER ANVIL COMPRISING A PLURALITY OF FORMING POCKETS"的美国专利申请序列号13/097,865 (现为美国专利公布2012/0080488); [0195] entitled "SURGICAL STAPLER ANVIL COMPRISING A PLURALITY OF FORMING POCKETS" U.S. Patent Application Serial No. 13 / 097,865 (now U.S. Patent Publication 2012/0080488);

[0196] 名称为"TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER" 的美国专利申请序列号13/097,936(现为美国专利8,657,176); [0196] entitled "TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER" U.S. Patent Application Serial No. 13 / 097,936 (now U.S. Patent No. 8,657,176);

[0197] 名称为"STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION"的美国专利申请序列号13/097,954 (现为美国专利公布2012/0080340); [0197] entitled "STAPLE CARTRIDGE COMPRISING A VARIABLE THICKNESS COMPRESSIBLE PORTION" U.S. Patent Application Serial No. 13 / 097,954 (now U.S. Patent Publication 2012/0080340);

[0198] 名称为"STAPLE CARTRIDGE ⑶MPRISING STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF"的美国专利申请序列号13/097,856 (现为美国专利公布2012/0080336); [0198] entitled "STAPLE CARTRIDGE ⑶MPRISING STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF" U.S. Patent Application Serial No. 13 / 097,856 (now U.S. Patent Publication 2012/0080336);

[0199] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING DETACHABLE PORTIONS" 的美国专利申请序列号13/097,928 (现为美国专利8,746,535); [0199] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING DETACHABLE PORTIONS" U.S. Patent Application Serial No. 13 / 097,928 (now U.S. Patent No. 8,746,535);

[0200] 名称为"TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER COMPRISING AN ADJUSTABLE ANVIL"的美国专利申请序列号13/097,891 (现为美国专利公布2012/ 0080489); [0200] entitled "TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER COMPRISING AN ADJUSTABLE ANVIL" U.S. Patent Application Serial No. 13 / 097,891 (now U.S. Patent Publication 2012/0080489);

[0201] 名称为"STAPLE CARTRIDGE COMPRISING AN ADJUSTABLE DISTAL PORTION" 的美国专利申请序列号13/097,948 (现为美国专利公布2012/0083836); [0201] entitled "STAPLE CARTRIDGE COMPRISING AN ADJUSTABLE DISTAL PORTION" U.S. Patent Application Serial No. 13 / 097,948 (now U.S. Patent Publication 2012/0083836);

[0202] 名称为"COMPRESSIBLE STAPLE CARTRIDGE ASSEMBLY"的美国专利申请序列号13/ 097,907 (现为美国专利公布2012/0080338); [0202] entitled "COMPRESSIBLE STAPLE CARTRIDGE ASSEMBLY" U.S. Patent Application Serial No. 13 / 097,907 (now U.S. Patent Publication 2012/0080338);

[0203] 名称为"TISSUE THICKNESS ⑶MPENSAT0R COMPRISING PORTIONS HAVING DIFFERENT PR0TORTIES"的美国专利申请序列号13/097,861 (现为美国专利公布2012/ 0080337); [0203] entitled "TISSUE THICKNESS ⑶MPENSAT0R COMPRISING PORTIONS HAVING DIFFERENT PR0TORTIES" U.S. Patent Application Serial No. 13 / 097,861 (now U.S. Patent Publication 2012/0080337);

[0204] 名称为"STAPLE CARTRIDGE LOADING ASSEMBLY"的美国专利申请序列号13/097, 869 (现为美国专利公布2012/0160721); [0204] name "STAPLE CARTRIDGE LOADING ASSEMBLY" US Patent Application Serial Number 13/097, 869 (now US Patent Publication 2012/0160721);

[0205] 名称为"COMPRESSIBLE STAPLE CARTRIDGE COMPRISING ALIGNMENT MEMBERS" 的美国专利申请序列号13/097,917 (现为美国专利公布2012/0083834); [0205] entitled "COMPRESSIBLE STAPLE CARTRIDGE COMPRISING ALIGNMENT MEMBERS" U.S. Patent Application Serial No. 13 / 097,917 (now U.S. Patent Publication 2012/0083834);

[0206] 名称为"STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION" 的美国专利申请序列号13/097,873 (现为美国专利8,740,038); [0206] entitled "STAPLE CARTRIDGE COMPRISING A RELEASABLE PORTION" U.S. Patent Application Serial No. 13 / 097,873 (now U.S. Patent No. 8,740,038);

[0207] 名称为"STAPLE CARTRIDGE COMPRISING COMPRESSIBLE DISTORTION RESISTANT COMPONENTS"的美国专利申请序列号13/097,938 (现为美国专利公布2012/0080491); [0207] entitled "STAPLE CARTRIDGE COMPRISING COMPRESSIBLE DISTORTION RESISTANT COMPONENTS" U.S. Patent Application Serial No. 13 / 097,938 (now U.S. Patent Publication 2012/0080491);

[0208] 名称为"STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR" 的美国专利申请序列号13/097,924 (现为美国专利公布2012/0083835); [0208] entitled "STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 097,924 (now U.S. Patent Publication 2012/0083835);

[0209] 名称为"SURGICAL STAPLER WITH FLOATING ANVIL"的美国专利申请序列号13/ 242,029 (现为美国专利公布2012/0080493); [0209] entitled "SURGICAL STAPLER WITH FLOATING ANVIL" U.S. Patent Application Serial No. 13 / 242,029 (now U.S. Patent Publication 2012/0080493);

[0210] 名称为"CURVED END EFFECTOR FOR A STAPLING INSTRUMENT" 的美国专利申请序列号13/242,066 (现为美国专利公布2012/0080498); [0210] entitled "CURVED END EFFECTOR FOR A STAPLING INSTRUMENT" U.S. Patent Application Serial No. 13 / 242,066 (now U.S. Patent Publication 2012/0080498);

[0211] 名称为"STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK"的美国专利申请序列号13/242,086 (现为美国专利公布2013/0075450); [0211] entitled "STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK" U.S. Patent Application Serial No. 13 / 242,086 (now U.S. Patent Publication 2013/0075450);

[0212] 名称为"STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK ARRANGEMENT"的美国专利申请序列号13/241,912 (现为美国专利公布2013/0075448); [0212] entitled "STAPLE CARTRIDGE INCLUDING COLLAPSIBLE DECK ARRANGEMENT" U.S. Patent Application Serial No. 13 / 241,912 (now U.S. Patent Publication 2013/0075448);

[0213] 名称为"SURGICAL STAPLER WITH STATIONARY STAPLE DRIVERS" 的美国专利申请序列号13/241,922 (现为美国专利公布2013/0075449); [0213] entitled "SURGICAL STAPLER WITH STATIONARY STAPLE DRIVERS" U.S. Patent Application Serial No. 13 / 241,922 (now U.S. Patent Publication 2013/0075449);

[0214] 名称为"SURGICAL INSTRUMENT WITH TRIGGER ASSEMBLY FOR GENERATING MULTIPLE ACTUATION MOTIONS"的美国专利申请序列号13/241,637 (现为美国专利公布2012/0074201); [0214] entitled "SURGICAL INSTRUMENT WITH TRIGGER ASSEMBLY FOR GENERATING MULTIPLE ACTUATION MOTIONS" U.S. Patent Application Serial No. 13 / 241,637 (now U.S. Patent Publication 2012/0074201);

[0215] 名称为"SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR"的美国专利申请序列号13/241,629 (现为美国专利公布2012/0074200); [0215] entitled "SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR" U.S. Patent Application Serial No. 13 / 241,629 (now U.S. Patent Publication 2012/0074200);

[0216] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY 0F CAPSULES"的美国专利申请序列号13/433,096 (现为美国专利公布2012/0241496); [0216] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY 0F CAPSULES" U.S. Patent Application Serial No. 13 / 433,096 (now U.S. Patent Publication 2012/0241496);

[0217] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY OF LAYERS" 的美国专利申请序列号13/433,103(现为美国专利公布2012/0241498); [0217] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY OF LAYERS" U.S. Patent Application Serial No. 13 / 433,103 (now U.S. Patent Publication 2012/0241498);

[0218] 名称为"EXPANDABLE TISSUE THICKNESS COMPENSATOR" 的美国专利申请序列号13/433,098 (现为美国专利公布2012/0241491); [0218] entitled "EXPANDABLE TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 433,098 (now U.S. Patent Publication 2012/0241491);

[0219] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING A RESERVOIR" 的美国专利申请序列号13/433,102(现为美国专利公布2012/0241497); [0219] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING A RESERVOIR" U.S. Patent Application Serial No. 13 / 433,102 (now U.S. Patent Publication 2012/0241497);

[0220] 名称为"RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR" 的美国专利申请序列号13/433,114(现为美国专利公布2012/0241499); [0220] entitled "RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 433,114 (now U.S. Patent Publication 2012/0241499);

[0221] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING AT LEAST ONE MEDICAMENT"的美国专利申请序列号13/433,136(现为美国专利公布2012/0241492); [0221] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING AT LEAST ONE MEDICAMENT" U.S. Patent Application Serial No. 13 / 433,136 (now U.S. Patent Publication 2012/0241492);

[0222] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING CONTROLLED RELEASE AND EXPANSION"的美国专利申请序列号13/433,141 (现为美国专利公布2012/0241493); [0222] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING CONTROLLED RELEASE AND EXPANSION" U.S. Patent Application Serial No. 13 / 433,141 (now U.S. Patent Publication 2012/0241493);

[0223] 名称为"TISSUE THICKNESS ⑶MPENSAT0R ⑶MPRISING FIBERS TO PRODUCE A RESILIENT LOAD"的美国专利申请序列号13/433,144(现为美国专利公布2012/0241500); [0223] entitled "TISSUE THICKNESS ⑶MPENSAT0R ⑶MPRISING FIBERS TO PRODUCE A RESILIENT LOAD" U.S. Patent Application Serial No. 13 / 433,144 (now U.S. Patent Publication 2012/0241500);

[0224] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING STRUCTURE TO PRODUCE A RESILIENT LOAD"的美国专利申请序列号13/433,148 (现为美国专利公布2012/0241501); [0224] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING STRUCTURE TO PRODUCE A RESILIENT LOAD" U.S. Patent Application Serial No. 13 / 433,148 (now U.S. Patent Publication 2012/0241501);

[0225] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING RESILIENT MEMBERS"的美国专利申请序列号13/433,155 (现为美国专利公布2012/0241502); [0225] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING RESILIENT MEMBERS" U.S. Patent Application Serial No. 13 / 433,155 (now U.S. Patent Publication 2012/0241502);

[0226] 名称为"METHODS FOR FORMING TISSUE THICKNESS COMPENSATOR ARRANGEMENTS FOR SURGICAL STAPLERS"的美国专利申请序列号13/433,163 (现为美国专利公布2012/ 0248169); [0226] entitled "METHODS FOR FORMING TISSUE THICKNESS COMPENSATOR ARRANGEMENTS FOR SURGICAL STAPLERS" U.S. Patent Application Serial No. 13 / 433,163 (now U.S. Patent Publication 2012/0248169);

[0227] 名称为"TISSUE THICKNESS ⑶MPENSAT0RS"的美国专利申请序列号13/433,167 (现为美国专利公布2012/0241503); [0227] entitled "TISSUE THICKNESS ⑶MPENSAT0RS" U.S. Patent Application Serial No. 13 / 433,167 (now U.S. Patent Publication 2012/0241503);

[0228] 名称为"LAYERED TISSUE THICKNESS⑶MPENSAT0R"的美国专利申请序列号13/ 433,175 (现为美国专利公布2012/0253298); [0228] entitled "LAYERED TISSUE THICKNESS⑶MPENSAT0R" U.S. Patent Application Serial No. 13 / 433,175 (now U.S. Patent Publication 2012/0253298);

[0229] 名称为"TISSUE THICKNESS COMPENSATORS FOR CIRCULAR SURGICAL STAPLERS" 的美国专利申请序列号13/433,179(现为美国专利公布2012/0241505); [0229] entitled "TISSUE THICKNESS COMPENSATORS FOR CIRCULAR SURGICAL STAPLERS" U.S. Patent Application Serial No. 13 / 433,179 (now U.S. Patent Publication 2012/0241505);

[0230] 名称为"ADHESIVE FILM LAMINATE"的美国专利申请序列号13/763,028 (现为美国专利公布2013/0146643); [0230] entitled "ADHESIVE FILM LAMINATE" U.S. Patent Application Serial No. 13 / 763,028 (now U.S. Patent Publication 2013/0146643);

[0231] 名称为"TISSUE THICKNESS ⑶MPENSAT0R ⑶MPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT"的美国专利申请序列号13/433,115 (现为美国专利公布2013/ 0256372); [0231] entitled "TISSUE THICKNESS ⑶MPENSAT0R ⑶MPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT" U.S. Patent Application Serial No. 13 / 433,115 (now U.S. Patent Publication 2013/0256372);

[0232] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISED OF A PLURALITY OF MATERIALS"的美国专利申请序列号13/433,118 (现为美国专利公布2013/0256365); [0232] entitled "TISSUE THICKNESS COMPENSATOR COMPRISED OF A PLURALITY OF MATERIALS" U.S. Patent Application Serial No. 13 / 433,118 (now U.S. Patent Publication 2013/0256365);

[0233] 名称为"MOVABLE MEMBER FOR USE WITH A TISSUE THICKNESS COMPENSATOR" 的美国专利申请序列号13/433,135 (现为美国专利公布2013/0256382); [0233] entitled "MOVABLE MEMBER FOR USE WITH A TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 433,135 (now U.S. Patent Publication 2013/0256382);

[0234] 名称为"TISSUE THICKNESS COMPENSATOR AND METHOD FOR MAKING THE SAME" 的美国专利申请序列号13/433,140(现为美国专利公布2013/0256368); [0234] entitled "TISSUE THICKNESS COMPENSATOR AND METHOD FOR MAKING THE SAME" U.S. Patent Application Serial No. 13 / 433,140 (now U.S. Patent Publication 2013/0256368);

[0235] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY 0F MEDICAMENTS"的美国专利申请序列号13/433,129(现为美国专利公布2013/0256367); [0235] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY 0F MEDICAMENTS" U.S. Patent Application Serial No. 13 / 433,129 (now U.S. Patent Publication 2013/0256367);

[0236] 名称为"STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS"的美国专利申请序列号11/216,562 (现为美国专利7,669,746); [0236] entitled "STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS" U.S. Patent Application Serial No. 11 / 216,562 (now U.S. Patent No. 7,669,746);

[0237] 名称为"SURGICAL STAPLING DEVICE WITH ANVIL HAVING STAPLE FORMING POCKETS OF VARYING DEPTHS"的美国专利申请序列号11/714,049 (现为美国专利公布2007/0194082); [0237] name "SURGICAL STAPLING DEVICE WITH ANVIL HAVING STAPLE FORMING POCKETS OF VARYING DEPTHS" US Patent Application Serial No. 11 / 714,049 (now US Patent Publication 2007/0194082);

[0238] 名称为"SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS"的美国专利申请序列号11/711,979 (现为美国专利8,317,070); [0238] entitled "SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS" U.S. Patent Application Serial No. 11 / 711,979 (now U.S. Patent No. 8,317,070);

[0239] 名称为"SURGICAL STAPLING DEVICE WITH STAPLE DRIVERS OF DIFFERENT HEIGHT"的美国专利申请序列号11/711,975 (现为美国专利公布2007/0194079); [0239] name "SURGICAL STAPLING DEVICE WITH STAPLE DRIVERS OF DIFFERENT HEIGHT" US Patent Application Serial No. 11 / 711,975 (now US Patent Publication 2007/0194079);

[0240] 名称为"SURGICAL STAPLING DEVICE WITH STAPLE DRIVER THAT SUPPORTS MULTIPLE WIRE DIAMETER STAPLES"的美国专利申请序列号11/711,977 (现为美国专利7, 673,781); [0240] entitled "SURGICAL STAPLING DEVICE WITH STAPLE DRIVER THAT SUPPORTS MULTIPLE WIRE DIAMETER STAPLES" U.S. Patent Application Serial No. 11 / 711,977 (now U.S. Patent No. 7, 673,781);

[0241] 名称为"SURGICAL STAPLING DEVICE WITH MULTIPLE STACKED ACTUATOR WEDGE CAMS FOR DRIVING STAPLE DRIVERS"的美国专利申请序列号11/712,315(现为美国专利7, 500,979); [0241] entitled "SURGICAL STAPLING DEVICE WITH MULTIPLE STACKED ACTUATOR WEDGE CAMS FOR DRIVING STAPLE DRIVERS" U.S. Patent Application Serial No. 11 / 712,315 (now U.S. Patent No. 7, 500,979);

[0242] 名称为"STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS"的美国专利申请序列号12/038,939 (现为美国专利7,934,630); [0242] entitled "STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS" U.S. Patent Application Serial No. 12 / 038,939 (now U.S. Patent No. 7,934,630);

[0243] 名称为"SURGICAL STAPLING SYSTEMS THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS"的美国专利申请序列号13/020,263 (现为美国专利8,636,187); [0243] entitled "SURGICAL STAPLING SYSTEMS THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS" U.S. Patent Application Serial No. 13 / 020,263 (now U.S. Patent No. 8,636,187);

[0244] 名称为"ROBOTICALLY-CONTROLLED SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS"的美国专利申请序列号13/118,278 (现为美国专利公布2011/0290851); [0244] entitled "ROBOTICALLY-CONTROLLED SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS" U.S. Patent Application Serial No. 13 / 118,278 (now U.S. Patent Publication 2011/0290851);

[0245] 名称为"ROBOTICALLY-CONTROLLED CABLE-BASED SURGICAL END EFFECTORS" 的美国专利申请序列号13/369,629 (现为美国专利公布2012/0138660); [0245] entitled "ROBOTICALLY-CONTROLLED CABLE-BASED SURGICAL END EFFECTORS" U.S. Patent Application Serial No. 13 / 369,629 (now U.S. Patent Publication 2012/0138660);

[0246] 名称为"SURGICAL STAPLING DEVICES FOR FORMING STAPLES WITH DIFFERENT FORMED HEIGHTS"的美国专利申请序列号12/695,359 (现为美国专利8,464,923); [0246] entitled "SURGICAL STAPLING DEVICES FOR FORMING STAPLES WITH DIFFERENT FORMED HEIGHTS" U.S. Patent Application Serial No. 12 / 695,359 (now U.S. Patent No. 8,464,923);

[0247] 名称为"STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS"的美国专利申请序列号13/072,923 (现为美国专利8,567,656); [0247] entitled "STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS" U.S. Patent Application Serial No. 13 / 072,923 (now U.S. Patent No. 8,567,656);

[0248] 名称为"LAYER OF MATERIAL FOR A SURGICAL END EFFECTOR" 的美国专利申请序列号13/766,325 (现为美国专利公布2013/0256380); [0248] entitled "LAYER OF MATERIAL FOR A SURGICAL END EFFECTOR" U.S. Patent Application Serial No. 13 / 766,325 (now U.S. Patent Publication 2013/0256380);

[0249] 名称为"ANVIL LAYER ATTACHED TO A PR0X頂AL END OF AN END EFFECTOR" 的美国专利申请序列号13/763,078 (现为美国专利公布2013/0256383); [0249] entitled "ANVIL LAYER ATTACHED TO A PR0X top AL END OF AN END EFFECTOR" U.S. Patent Application Serial No. 13 / 763,078 (now U.S. Patent Publication 2013/0256383);

[0250] 名称为"LAYER COMPRISING DEPLOYABLE ATTACHMENT MEMBERS"的美国专利申请序列号13/763,094 (现为美国专利公布2013/0256377); [0250] entitled "LAYER COMPRISING DEPLOYABLE ATTACHMENT MEMBERS" U.S. Patent Application Serial No. 13 / 763,094 (now U.S. Patent Publication 2013/0256377);

[0251] 名称为"END EFFECTOR COMPRISING A DISTAL TISSUE ABUTMENT MEMBER"的美国专利申请序列号13/763,106(现为美国专利公布2013/0256378); [0251] entitled "END EFFECTOR COMPRISING A DISTAL TISSUE ABUTMENT MEMBER" U.S. Patent Application Serial No. 13 / 763,106 (now U.S. Patent Publication 2013/0256378);

[0252] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING CHANNELS" 的美国专利申请序列号13/433,147(现为美国专利公布2013/0256369); [0252] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING CHANNELS" U.S. Patent Application Serial No. 13 / 433,147 (now U.S. Patent Publication 2013/0256369);

[0253] 名称为"SURGICAL STAPLING CARTRIDGE WITH LAYER RETENTION FEATURES"的美国专利申请序列号13/763,112 (现为美国专利公布2013/0256379); [0253] entitled "SURGICAL STAPLING CARTRIDGE WITH LAYER RETENTION FEATURES" U.S. Patent Application Serial No. 13 / 763,112 (now U.S. Patent Publication 2013/0256379);

[0254] 名称为"ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE"的美国专利申请序列号13/763,035 (现为美国专利公布2013/ 0214030); [0254] entitled "ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE" U.S. Patent Application Serial No. 13 / 763,035 (now U.S. Patent Publication 2013/0214030);

[0255] 名称为"RELEASABLE TISSUE THICKNESS COMPENSATOR AND FASTENER CARTRIDGE HAVING THE SAME"的美国专利申请序列号13/763,042 (现为美国专利公布2013/0221063); [0255] entitled "RELEASABLE TISSUE THICKNESS COMPENSATOR AND FASTENER CARTRIDGE HAVING THE SAME" U.S. Patent Application Serial No. 13 / 763,042 (now U.S. Patent Publication 2013/0221063);

[0256] 名称为"FASTENER CARTRIDGE ⑶MPRISING A RELEASABLE TISSUE THICKNESS COMPENSATOR"的美国专利申请序列号13/763,048(现为美国专利公布2013/0221064); [0256] entitled "FASTENER CARTRIDGE ⑶MPRISING A RELEASABLE TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 763,048 (now U.S. Patent Publication 2013/0221064);

[0257] 名称为"FASTENER CARTRIDGE COMPRISING A CUTTING MEMBER FOR RELEASING A TISSUE THICKNESS COMPENSATOR"的美国专利申请序列号13/763,054 (现为美国专利公布2014/0097227); [0257] entitled "FASTENER CARTRIDGE COMPRISING A CUTTING MEMBER FOR RELEASING A TISSUE THICKNESS COMPENSATOR" U.S. Patent Application Serial No. 13 / 763,054 (now U.S. Patent Publication 2014/0097227);

[0258] 名称为"FASTENER CARTRIDGE ⑶MPRISING A RELEASABLY ATTACHED TISSUE THICKNESS⑶MPENSAT0R"的美国专利申请序列号13/763,065 (现为美国专利公布2013/ 0221065); [0258] entitled "FASTENER CARTRIDGE ⑶MPRISING A RELEASABLY ATTACHED TISSUE THICKNESS⑶MPENSAT0R" U.S. Patent Application Serial No. 13 / 763,065 (now U.S. Patent Publication 2013/0221065);

[0259] 名称为"STAPLE CARTRIDGE COMPRISING A RELEASABLE COVER"的美国专利申请序列号13/763,021; [0259] entitled "STAPLE CARTRIDGE COMPRISING A RELEASABLE COVER" U.S. Patent Application Serial No. 13 / 763,021;

[0260] 名称为"ANVIL LAYER ATTACHED TO A PR0X頂AL END OF AN END EFFECTOR" 的美国专利申请序列号13/763,078 (现为美国专利公布2013/0256383); [0260] entitled "ANVIL LAYER ATTACHED TO A PR0X top AL END OF AN END EFFECTOR" U.S. Patent Application Serial No. 13 / 763,078 (now U.S. Patent Publication 2013/0256383);

[0261] 名称为"LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES"的美国专利申请序列号13/763,095 (现为美国专利公布2013/0161374); [0261] entitled "LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES" U.S. Patent Application Serial No. 13 / 763,095 (now U.S. Patent Publication 2013/0161374);

[0262] 名称为"頂PLANTABLE ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES"的美国专利申请序列号13/463,147(现为美国专利公布2013/0292398); [0262] entitled "Top PLANTABLE ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES" U.S. Patent Application Serial No. 13 / 463,147 (now U.S. Patent Publication 2013/0292398);

[0263] 名称为"MULTIPLE THICKNESS IMPLANTABLE LAYERS FOR SURGICAL STAPLING DEVICES"的美国专利申请序列号13/763,192 (现为美国专利公布2013/0146642); [0263] entitled "MULTIPLE THICKNESS IMPLANTABLE LAYERS FOR SURGICAL STAPLING DEVICES" U.S. Patent Application Serial No. 13 / 763,192 (now U.S. Patent Publication 2013/0146642);

[0264] 名称为"RELEASABLE LAYER OF MATERIAL AND SURGICAL END EFFECTOR HAVING THE SAME"的美国专利申请序列号13/763,161 (现为美国专利公布2013/0153641); [0264] entitled "RELEASABLE LAYER OF MATERIAL AND SURGICAL END EFFECTOR HAVING THE SAME" U.S. Patent Application Serial No. 13 / 763,161 (now U.S. Patent Publication 2013/0153641);

[0265] 名称为"ACTUATOR FOR RELEASING A LAYER OF MATERIAL FROM A SURGICAL END EFFECTOR"的美国专利申请序列号13/763,177 (现为美国专利公布2013/0146641); [0265] entitled "ACTUATOR FOR RELEASING A LAYER OF MATERIAL FROM A SURGICAL END EFFECTOR" U.S. Patent Application Serial No. 13 / 763,177 (now U.S. Patent Publication 2013/0146641);

[0266] 名称为"STAPLE CARTRIDGE COMPRISING A COMPRESSIBLE PORTION" 的美国专利申请序列号13/763,037; [0266] entitled "STAPLE CARTRIDGE COMPRISING A COMPRESSIBLE PORTION" U.S. Patent Application Serial No. 13 / 763,037;

[0267] 名称为"TISSUE THICKNESS ⑶MPENSATOR COMPRISING TISSUE INGROWTH FEATURES"的美国专利申请序列号13/433,126 (现为美国专利公布2013/0256366); [0267] entitled "TISSUE THICKNESS ⑶MPENSATOR COMPRISING TISSUE INGROWTH FEATURES" U.S. Patent Application Serial No. 13 / 433,126 (now U.S. Patent Publication 2013/0256366);

[0268] 名称为"DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS" 的美国专利申请序列号13/433,132 (现为美国专利公布2013/0256373)。 [0268] entitled "DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS" U.S. Patent Application Serial No. 13 / 433,132 (now U.S. Patent Publication 2013/0256373).

[0269] 名称为"FASTENER CARTRIDGE ⑶MPRISING A TISSUE THICKNESS ⑶MPENSATOR INCLUDING OPENINGS THEREIN"的美国专利申请序列号13/851,703; [0269] entitled "FASTENER CARTRIDGE ⑶MPRISING A TISSUE THICKNESS ⑶MPENSATOR INCLUDING OPENINGS THEREIN" U.S. Patent Application Serial No. 13 / 851,703;

[0270] 名称为"TISSUE THICKNESS COMPENSATOR COMPRISING A CUTTING MEMBER PATH" 的美国专利申请序列号13/851,676; [0270] entitled "TISSUE THICKNESS COMPENSATOR COMPRISING A CUTTING MEMBER PATH" U.S. Patent Application Serial No. 13 / 851,676;

[0271] 名称为"FASTENER CARTRIDGE ASSEMBLIES"的美国专利申请序列号13/851,693; [0271] entitled "FASTENER CARTRIDGE ASSEMBLIES" U.S. Patent Application Serial No. 13 / 851,693;

[0272] 名称为"FASTENER CARTRIDGE ⑶MPRISING A TISSUE THICKNESS ⑶MPENSATOR AND A GAP SETTING ELEMENT"的美国专利申请序列号13/851,684; [0272] entitled "FASTENER CARTRIDGE ⑶MPRISING A TISSUE THICKNESS ⑶MPENSATOR AND A GAP SETTING ELEMENT" U.S. Patent Application Serial No. 13 / 851,684;

[0273] 名称为"STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" 的美国专利申请序列号14/187,387 (现为美国专利公布2014/0166724); [0273] entitled "STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" U.S. Patent Application Serial No. 14 / 187,387 (now U.S. Patent Publication 2014/0166724);

[0274] 名称为"STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" 的美国专利申请序列号14/187,395 (现为美国专利公布2014/0166725); [0274] entitled "STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" U.S. Patent Application Serial No. 14 / 187,395 (now U.S. Patent Publication 2014/0166725);

[0275] 名称为"STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" 的美国专利申请序列号14/187,400 (现为美国专利公布2014/0166726); [0275] entitled "STAPLE CARTRIDGE INCLUDING A BARBED STAPLE" U.S. Patent Application Serial No. 14 / 187,400 (now U.S. Patent Publication 2014/0166726);

[0276] 名称为"頂PLANTABLE LAYERS AND METHODS FOR ALTERING 頂PLANTABLE LAYERS FOR USE WITH SURGICAL FASTENING INSTRUMENTS"的美国专利申请序列号14/187,383; [0276] entitled "Top PLANTABLE LAYERS AND METHODS FOR ALTERING top PLANTABLE LAYERS FOR USE WITH SURGICAL FASTENING INSTRUMENTS" U.S. Patent Application Serial No. 14 / 187,383;

[0277] 名称为"IMPLANTABLE LAYERS AND METHODS FOR ALTERING ONE OR MORE PROPERTIES OF MPLANTABLE LAYERS FOR USE WITH FASTENING INSTRUMENTS" 的美国专利申请序列号14/187,386; [0277] entitled "IMPLANTABLE LAYERS AND METHODS FOR ALTERING ONE OR MORE PROPERTIES OF MPLANTABLE LAYERS FOR USE WITH FASTENING INSTRUMENTS" U.S. Patent Application Serial No. 14 / 187,386;

[0278] 名称为"頂PLANTABLE LAYERS AND METHODS FOR MODIFYING THE SHAPE OF THE 頂PLANTABLE LAYERS FOR USE WITH A SURGICAL FASTENING INSTRUMENT" 的美国专利申请序列号14/187,390; [0278] entitled "Top PLANTABLE LAYERS AND METHODS FOR MODIFYING THE SHAPE OF THE top PLANTABLE LAYERS FOR USE WITH A SURGICAL FASTENING INSTRUMENT" U.S. Patent Application Serial No. 14 / 187,390;

[0279] 名称为"頂PLANTABLE LAYER ASSEMBLIES"的美国专利申请序列号14/187,389; [0279] entitled "Top PLANTABLE LAYER ASSEMBLIES" U.S. Patent Application Serial No. 14 / 187,389;

[0280] 名称为"頂PLANTABLE LAYERS COMPRISING A PRESSED REGION"的美国专利申请序列号14/187,385;以及 [0280] entitled "Top PLANTABLE LAYERS COMPRISING A PRESSED REGION" U.S. Patent Application Serial No. 14 / 187,385; and

[0281] 名称为"FASTENING SYSTEM COMPRISING A FIRING MEMBER LOCKOUT" 的美国专利申请序列号14/187,384; [0281] entitled "FASTENING SYSTEM COMPRISING A FIRING MEMBER LOCKOUT" U.S. Patent Application Serial No. 14 / 187,384;

[0282] 对许多特定细节作了阐述,以使读者对说明书中所述和附图中所示的实施方案的整体结构、功能、制造和用途有透彻理解。 [0282] numerous specific details are elaborated, to allow the reader of the specification and the overall structure of the embodiments shown in the drawings, function, manufacture, and use a thorough understanding. 然而,本领域技术人员将会理解,可以在没有这样的特定细节的情况下实施本实施方案。 However, those skilled in the art will appreciate that the present embodiment may be practiced without such specific details. 在其它情况下,没有详细描述熟知的操作、部件和元件,以免使说明书中描述的实施方案模糊不清。 In other instances, operations, components and elements known described in detail so as not to embodiments described in the specification obscure. 本领域的普通技术人员将会理解,本文所述和所示的实施方案为非限制性示例,从而可认识到,本文所公开的特定结构和功能细节可为代表性和示例性的。 Those of ordinary skill in the art will appreciate that the embodiments described herein and illustrated in non-limiting exemplary embodiment, and thus can be appreciated that the specific structural and functional details disclosed herein may be representative and exemplary. 在不脱离权利要求的范围的情况下可对这些实施方案进行变型和改变。 Modifications and variations may be made to these embodiments without departing from the scope of the claims.

[0283] 本说明书通篇提及的"各种实施方案"、"一些实施方案"、"一个实施方案"或"实施方案"等,意味着结合该实施方案描述的具体特征、结构或特性包括在至少一个实施方案中。 [0283] Reference throughout this specification to "various embodiments", "some embodiments", "an embodiment" or "an embodiment," etc., means that a particular feature of this embodiment described features, structures, or characteristics comprise in at least one embodiment. 因此,本说明书通篇出现的短语"在各种实施方案中"、"在一些实施方案中"、"在一个实施方案中"或"在实施方案中"等并不一定都指相同的实施方案。 Thus, throughout this specification appearances of the phrases "in various embodiments," "in some embodiments", "in one embodiment" or "in an embodiment" and the like are not necessarily all referring to the same embodiment . 此外,在一个或多个实施方案中,具体特征、结构或特性可以任何合适的方式组合。 Further, in one or more embodiments, the particular features, structures, or characteristics may be in any suitable combination. 因此,在无限制的情形下,结合一个实施方案示出或描述的具体特征、结构或特性可全部或部分地与一个或多个其它实施方案的特征、结构或特性组合。 Thus, in the case of unrestricted, in connection with one particular feature of the embodiment illustrated or described embodiments, structures, or characteristics may all be characterized with one or more other embodiments, structure, or characteristic in combination or in part. 此外,应当理解,为简明和清楚起见,本文可例如参考所示实施方案使用诸如"竖直"、"水平"、"上"和"下"之类的空间术语。 Further, it should be appreciated that for simplicity and clarity, the embodiment shown herein may, for example, reference to terms such as "vertical", "horizontal", spatial terms "upper" and "lower" and the like. 然而,这些术语用于辅助读者且并不旨在是限制和绝对的。 However, these terms are used to assist the reader and is not intended to be limiting and absolute.

[0284] 转到图1,外科缝合和切割器械10可包括可被操纵以便将工具部分14定位在手术部位中的柄部12。 [0284] Turning to FIG. 1, a surgical stapling and severing instrument 10 may be manipulated to include the tool portion 14 is positioned in the surgical site 12 of the handle portion. 在各种实施方案中,工具部分14可包括附接到细长轴18的端部执行器16。 In various embodiments, the tool portion 14 may include an elongate shaft attached to the end effector 16 and 18. 在多种情况下,工具部分14的尺寸和构造可设定成通过套管针(未示出)的插管插入手术部位中,以便执行例如内窥镜式或腹腔镜式外科手术。 In many cases, the size and configuration of the tool portion 14 may be set to a surgical site through a trocar (not shown) of the cannula, for example, in order to perform laparoscopic or endoscopic surgery. 端部执行器16可包括上钳口或砧座20 以及下钳口22,其中当朝柄部12的手枪式握把26运动或按压柄部12的闭合触发器24时,砧座20可在打开位置和闭合位置之间运动。 An end effector 16 may include an upper jaw or anvil 20 and the lower jaw 22, wherein when the handle toward the pistol grip portion 12 of the closure trigger 26 is moved or the pressing portion 12 of the handle 24, the anvil 20 may movable between open and closed positions. 在各种实施方案中,按压闭合触发器24可推进细长轴18的外部闭合套管28,其中外部闭合套管28可接触砧座20并且将砧座20枢转到其闭合位置。 In various embodiments, depressing the closure trigger 24 may be advanced elongate shaft 28 external closure sleeve 18, wherein the external closure sleeve 28 may contact the anvil 20 and the anvil 20 to pivot to its closed position. 在某些情况下,外科医生可通过扭转轴旋钮30来使工具部分14围绕其纵向轴线旋转。 In some cases, the surgeon may be the tool portion 30 by twisting the knob shaft 14 about its longitudinal axis. 在任何情况下,一旦端部执行器16已插入注气体腔中时,例如,就可释放闭合触发器24,从而允许砧座20通过弹簧(未示出)偏置并且相对于靶组织定位。 In any case, once end effector 16 is inserted into the inlet gas in the chamber, for example, can release the closure trigger 24, thereby allowing the anvil 20 by a spring (not shown) and offset relative to the target tissue localization. 在各种实施方案中,闭合触发器24可锁定在其压下状态,并且在至少一个实施方案中,柄部12还可包括可进行按压以对闭合触发器24解锁的锁定释放致动器44。 In various embodiments, the closure trigger 24 may be locked in its depressed state, and in at least one embodiment, the handle 12 may be pressed to further include a closure trigger 24 to unlock the lock release actuator 44 . 一旦砧座20和下钳口22已相对于手术部位中的组织适当定位时,就可再次压下闭合触发器24以便闭合砧座20并且紧靠附接到底钳口22的钉仓42来压缩组织。 Once the anvil 20 and the lower jaw when properly positioned in the surgical site 22 has with respect to the tissue, trigger 24 can be depressed again closed to close against the anvil 20 and the staple cartridge is attached in the end 22 of the jaw 42 is compressed organization.

[0285] 一旦砧座20已闭合时,就可朝闭合触发器24和手枪式握把26来拉引或按压击发触发器32,以便将击发力或运动施加到击发构件并且从未击发位置推进击发构件。 [0285] Once anvil 20 is closed, the closure can trigger toward the pistol grip 24 and 26 to the firing trigger 32 is pulled or pushed, to the firing force or motion applied to the unfired position and the firing member advance firing member. 在各种实施方案中,击发构件可包括附接到远侧击发杆36的近侧击发杆34。 In various embodiments, the firing member may comprise a proximal firing rod attached to a distal firing bar 36, 34. 在至少一个此类实施方案中,击发杆34和/或击发杆36可支撑在轴18中的框架38内,该轴可延伸在柄部12和端部执行器16之间。 At least one such embodiment, the firing bar 34 and / or the firing bar 36 in the shaft 18 may be supported in the frame 38, the shaft may extend between the handle portion 12 and the end effector 16. 由于施加到击发构件的击发运动,则击发杆36可在下钳口22的细长钉仓通道40以及定位在仓通道40内的钉仓42内朝远侧推进。 Since the firing motion is applied to the firing member, the firing bar 36 may be elongated lower jaw 40 of the staple cartridge channel 22 and a cartridge positioned within staple cartridge channel 40 distally advancing 42. 在各种实施方案中,参见图2,击发杆36 可包括附接部分48,所述附接部分附接到可在端部执行器16内平移的E柱杆50』柱杆50可包括竖直部分52,所述竖直部分可在当E柱杆50朝远侧推进时穿过延伸穿过砧座20中的组织接触表面60的狭窄纵向砧座狭槽58、钉仓42中的狭窄竖直狭槽62、以及细长钉通道40中的狭窄纵向通道狭槽64。 In various embodiments, referring to FIG. 2, the firing bar 36 may include an attachment portion 48, the attachment portion is attached to the mast 50 E "mast translatable within the end effector 1650 may comprise a vertical the straight portion 52, the vertical portion may be in the E when the mast 50 extends through the distally advanced through the tissue contacting surface 20 of the narrow longitudinal anvil slot 60 of the anvil 58, a staple cartridge 42 narrow vertical slot 62, and an elongate staple channel 40 of a narrow longitudinal slot 64 passages. 现在参见图2和图3,砧座狭槽58可向上延伸到砧座20中并且可包括通入横向加宽的纵向通道66中的端部,所述横向加宽的纵向通道66的尺寸和构造使得其接收从竖直部分52横向延伸的上部销54。 Referring now to FIGS. 2 and 3, the anvil slot 58 may extend upwardly into the anvil 20 and the end portion may include a longitudinal passage 66 into lateral widened in the lateral longitudinal channel 66 and the size of the widened configured such that it receives from the vertical upper portion 52 of pin 54 extending transversely. 相似地,通道狭槽64可向下延伸到通道40中并且可包括通入横向加宽的纵向通道68中的端部,所述横向加宽的纵向通道68的尺寸和构造使得其接收从竖直部分52横向延伸的一个或多个下部引脚70。 Similarly, the channel slot 64 may extend downwardly into the channel 40 and may include a laterally widened end portion into the longitudinal channel 68, the lateral widening of the longitudinal channel 68 sized and configured such that it receives from the vertical one or more straight portions 52 of the lower transverse pin 70 extends.

[0286] 在各种实施方案中,如针对上文进一步所述,E柱杆50还可包括一个或多个中间销72,所述中间销可从竖直部分52横向延伸并且可被构造成能够沿着钉仓42的底盘74的顶部表面滑动。 [0286] In various embodiments, as described above for further, E mast 50 may further include one or more intermediate pins 72, the intermediate pin can extend laterally from the vertical portion 52 and may be configured to can slide along the top surface of the chassis 42 of the staple cartridge 74. 在某些实施方案中,中间销72可被构造成能够固定钉仓42,或者确保钉仓42保持位于通道40中。 In certain embodiments, the center pin 72 may be configured to be fixed to the cartridge 42, or that the cartridge 42 remains in the passageway 40. 形成于底盘74上方的钉仓42中的纵向击发凹槽75的尺寸设定成允许中间销72平移穿过钉仓42。 Longitudinal firing recess 74 formed above the chassis 42 of the dimensions of the cartridge 75 is set to allow the middle pin 72 to translate through the staple cartridge 42. 在各种实施方案中,E柱杆50还可包括远侧驱动表面76,所述远侧驱动表面可被构造成能够平移穿过钉仓42中的竖直狭槽62并且朝远侧驱动楔形滑动件78穿过钉仓42。 In various embodiments, E may further include a strut 50 distal driving surface 76, the distal drive surface may be configured to be able to translate through a vertical slot in the staple cartridge 4262 and distally drive a wedge the slide member 78 through the staple cartridge 42. 在某些实施方案中,楔形滑块78可一体形成在E柱杆50内,而在其它实施方案中,楔形滑动件78可存在于钉仓42中并且可在E柱杆50朝远侧推进时接触驱动表面76』柱杆50的竖直部分52还可包括在远侧驱动表面76上方以及上部销54下方沿着远侧边缘延伸的切割表面80,所述切割表面在组织46正被缝合时切断所夹持组织46。 In certain embodiments, the wedge slide 78 may be integrally formed within the E mast 50, while in other embodiments, the wedge slide 78 may be present in the staple cartridge 42 and 50 can be advanced distally mast E contact the drive surface 76 'vertical strut portion 5250 may also include a distal driving surface 76 above and below the upper surface of the cutting pin 54 extending along the distal edge 80, the cutting surface 46 is sutured tissue n 46 when cutting the clamped tissue. 现在参见图4,楔形滑动件78可被构造成能够接合一个或多个钉驱动器82并且朝砧座20向上驱动钉驱动器82。 Referring now to FIG. 4, the wedge slide 78 may be configured to engage one or more of the staple driver 82 toward the anvil drive 20 and the staple drivers 82 upward. 在各种实施方案中,钉(诸如钉83)例如可位于和/或以其它方式被钉驱动器82支撑,使得当钉驱动器82向上提升时,也可向上提升钉83。 In various embodiments, the staples (such as a nail 83) may be located, for example, support and / or otherwise be staple driver 82, so that when the staple drivers 82 upward, the staples 83 may also be lifted upward. 在至少一个此类实施方案中,钉83也可至少部分地定位在钉仓42的钉仓体85中的钉腔或凹坑84内,其中当钉83向上提升时,钉83可接触砧座20 并且可从钉腔84顶出。 At least one such embodiment, the staple 83 may be at least partially positioned within staple cartridge 85 within the staple 42 cavities or recesses 84, wherein when the staple 83 is lifted up, the staple anvil 83 may contact 20 and may be out of the staple chamber 84. 在至少一个实施方案中,再次参见图4,底盘74可附接到仓体85,以便将钉驱动器82和钉83保持在钉仓42内直至如上文所述来从其部署钉83。 In at least one embodiment, referring again to Figure 4, the chassis 74 may be attached to the cartridge body 85, so that the staple driver 82 and the staple 83 held as described above until the deployment of the staples 83 to 42 from the staple cartridge.

[0287] 现在参见图5和6,使用时,可将砧座20定位在组织46的一侧并且可将底钳口22定位在组织46的相对侧,使得当砧座20闭合到组织上时,砧座20的组织接触表面60和钉仓42 的组织接触平台90可在未压缩厚度91和压缩厚度92之间来压缩组织46。 [0287] Referring now to FIGS. 5 and 6, when in use, the anvil 20 is positioned at the side of the tissue 46 and the bottom jaw 22 may be positioned on opposite sides of the tissue 46, such that when the anvil 20 is closed onto the tissue , tissue-contacting surface 60 of anvil 20 and staple cartridge tissue contacting platform 42 may be 90 and 91 in an uncompressed thickness of tissue 46 is compressed between the compression thickness 92. 为了缝合和横切组织46,如上文所述,可在钉仓42内朝远侧推进楔形滑块78以便朝砧20提升缝钉驱动器82并且使缝钉83变形。 To stapling and transecting tissue 46, as described above, the slider 78 may advance the wedge 20 in order to lift the staple drivers toward the anvil 82 and 83 deform the staples within the staple cartridge 42 distally. 在各种实施方案中,每个钉驱动器82可包括限定于其中的一个或多个狭槽,所述狭槽可被构造成能够接收钉83的基座87并将其可释放地保持在适当位置。 In various embodiments, each staple driver 82 may comprise defining one or more slots therein, the slot may be configured to be able to receive the base 87 of a staple 83 and releasably held in place position. 在至少一个此类实施方案中,每个钉83可包括从基座87延伸的一个或多个钉腿88,其中钉腿88可向上延伸到钉腔84中。 At least one such embodiment, each staple 83 may include one extending from the base 87 or a plurality of staple legs 88, wherein the staple legs 88 may extend upwardly into the staple chamber 84. 在各种实施方案中,当钉83处于其未击发位置时,钉腿88的末端可相对于仓体85的平台或组织接触表面90凹陷。 In various embodiments, the staples 83 when in their unfired position, the end of the staple legs 88 may be recessed with respect to the cartridge body 90 or the platform 85 of the tissue-contacting surface. 当通过驱动器82向上提升钉83时,钉腿88的末端可从钉腔84顶出、穿透组织46、并且接触与钉腔84相对地定位的砧座成形凹坑89。 When the lift pin 83 upwardly through the driver 82, the end of the staple legs 88 may be from staple cavities 84, 46 penetrate the tissue, and in contact with the cavity 84 positioned opposite the staple anvil forming pockets 89. 砧座成形凹坑89可被构造成能够使钉83变形成任何合适的形状,诸如示于图5中的B形形状。 Anvil forming pockets 89 may be configured to enable staple 83 is deformed into any suitable shape, B-shape as shown in FIG. 5. 现在参见图6,当部署钉83时,刀刃80可横切组织46进入缝合部分94中。 Referring now to FIG. 6, when the deployment of the staples 83, transverse edges 80 may be stitched into the tissue 46 in the section 94.

[0288]如上文所述,端部执行器的钳口构件可被构造成能够将压缩压力或压缩力施加到正被缝合的组织。 [0288] As described above, the end effector jaw member may be configured to be capable of compressive pressure or compressive force to the tissue being sutured. 然而,在多种情况下,组织可例如为滑的并且组织的至少一部分可相对于钳口构件滑动。 However, in many cases, for example, tissue can slide and at least a portion of the tissue may be slidable relative to the jaw member. 在某些情况下,组织可沿着纵向方向从端部执行器的远侧端部滑出和/或可沿着横向于纵向方向的方向从端部执行器的侧面滑出。 In some cases, the tissue may slipping and / or sliding out from the side of the end effector in a direction transverse to the longitudinal direction from the distal end of the end effector along the longitudinal direction. 在一些情况下,当压缩组织时,组织的部分可从端部执行器的远侧端部和/或端部执行器的侧面挤出。 In some cases, when compressed tissue, the tissue section may be extruded from the distal end side end and / or end effector. 在本文所公开的多种实施方案中,钉仓可包括一个或多个组织保持特征结构,所述组织保持特征结构可被构造成能够防止或者至少降低定位在端部执行器内的组织相对于端部执行器运动的可能性。 In various embodiments disclosed herein, a staple cartridge can include one or more tissue retention feature, the tissue retention feature may be configured to be able to prevent or at least reduce positioned within the end effector relative to tissue the possibility of movement of the end effector.

[0289] 在各种实施方案中,现在参见图7和图8,钉仓(例如,钉仓142)可包括仓体185以及定位在仓体185内的多个钉(诸如,钉187 (图9))。 [0289] In various embodiments, referring now to FIGS. 7 and 8, a staple cartridge (e.g., staple cartridge 142) may comprise a plurality of cartridge body 185 and positioned within the staple cartridge body 185 (such as a staple 187 (FIG. 9)). 仓体185可包括近侧端部141和远侧端部143,其中近侧端部141可被构造成能够插入钉仓通道的近侧端部中并且远侧端部143可被构造成能够插入钉仓通道的远侧端部中。 185 cartridge body 141 may include a proximal end 143 and a distal end, wherein the proximal end portion 141 may be configured to be inserted into the proximal end of the staple cartridge channel and the distal end portion 143 may be configured to be inserted the distal end portion of the staple cartridge channel. 在至少一个实施方案中,仓体185可包括多个钉腔184,所述钉腔中可各自被构造成能够接收钉187。 In at least one embodiment, the cartridge body 185 may comprise a plurality of staple cavities 184, the staple cavities can each be configured to receive a staple 187. 在某些可供选择的实施方案中,尽管未示出,但钉腔可包括定位在其中的多于一个的钉。 In certain alternative embodiments, although not shown, but it may include a staple cavity positioned therein more than one staple. 在任何情况下,钉腔184可在仓体185内布置成多个排。 In any case, the staple cavities 184 may be arranged in a plurality of rows within the cartridge body 185. 更具体地,在至少一个实施方案中,钉腔184可例如在仓体185的第一侧145上布置成三个钉排并且可例如在仓体185的第二侧147上布置成三个钉排。 More specifically, in at least one embodiment, staple cavities 184, for example, may be disposed on the first side 145 into the cartridge body 185 may be, for example, three rows of staples and the staples arranged three on the second side 147 of the cartridge body 185 row. 在至少一个此类实施方案中,仓体185的第一侧145和第二侧147可由刀狭槽162分开,所述刀狭槽可被构造成能够在其内可滑动地接收切割构件。 In at least one such embodiment, the first side 185 of the cartridge body 145 and second side 147 may be formed separately from the knife slot 162, a knife slot may be configured to be able to receive a cutting member slidably therein. 在多种其它实施方案中,钉仓可例如在刀狭槽162的每一侧包括任何其它合适数量的钉排,诸如两个钉排或四个钉排。 In various other embodiments, a staple cartridge can comprise any other suitable number of rows of staples on each side, for example, knife slot 162, such as two or four rows of staples staple rows. 参见图9,在各种实施方案中, 钉仓142还可包括被构造成能够支撑钉187和/或将钉187从钉腔184顶出的多个钉驱动器182。 Referring to Figure 9, in various embodiments, the staple cartridge 142 may also include a 187 configured to support a staple and / or the staples 187 from staple cavities over 184 staple driver 182. 在某些实施方案中,每个钉腔184可包括位于仓体185的平台190中的开口端或开口110,钉187穿过开口端或开口110顶出。 In certain embodiments, each staple cavity 184 may include an open end or opening 110 of the platform 190 in the cartridge body 185, the staple 187 passes through the open end or opening 110 a.

[0290] 在各种实施方案中,主要参见图8,钉腔184可被布置成使得它们相对于彼此为纵向交错的。 [0290] In various embodiments, referring primarily to FIG. 8, the staple cavities 184 can be arranged relative to each other such that they are longitudinally staggered. 例如,仓体185的第一侧145上的钉腔184例如可以钉腔184的最内排、钉腔184的中间排和钉腔184的最外排布置,其中一个排中的钉腔184可并不与其它排中的一者或两者中的钉腔184横向地对齐。 For example, staple cavities 184 on the first side 145 185 of the staple cartridge body cavities, for example the innermost row 184, middle row and outer rows of staple cavities disposed most staple cavities 184 184, wherein the staple cavities 184 in a row may be 184 is not aligned with the other row of one or both of the staple cavity laterally. 在至少一个实施方案中,每个钉腔184可包括近侧端部111和远侧端部112,其中每个钉腔184的近侧端部111可定位成比远侧端部112更靠近仓体185的近侧端部141。 In at least one embodiment, each staple cavity 184 111 may include a proximal end 112 and a distal end, wherein the proximal end of each staple portion 111 of the chamber 184 may be positioned closer to the bins than the distal end portion 112 the proximal end 141 of the body 185. 同样,每个钉腔184的远侧端部112可定位成比近侧端部111更靠近仓体185的远侧端部143。 Similarly, distal end 184 of each staple cavity 112 may be positioned to the distal end of the body portion 185 of the cartridge 143 to 111 closer to the proximal end. 在各种实施方案中,钉腔184的最内排可被定位成使得最内排内的钉腔184的远侧端部112相对于中间排钉腔184中的钉腔184的远侧端部112朝远侧定位。 In various embodiments, the staple cavities innermost row may be positioned such that the staple 184 into the discharge chamber in the innermost portion 184 of the distal end of the distal end portion 112 with respect to the chamber 184 in the middle row of staple cavities of the staple 184 112 distally positioned. 相似地,钉腔184的最外排可被定位成使得最外排内的钉腔184的远侧端部112相对于中间排钉腔184中的钉腔的远侧端部112朝远侧定位。 Similarly, the outermost row of staple cavities 184 can be positioned such that the staple cavities 184 within the outermost row of portion 112 relative to the distal end 112 is positioned distally of the distal end of the intermediate row of staple cavities 184 with respect to the staple cavities . 例如,最内排中的最远侧钉腔18 4可相对于中间排中的最远侧钉腔184在远侧定位,并且相似地,最外排中的最远侧钉腔184可相对于中间排中的最远侧钉腔184在远侧定位。 For example, the innermost row distal-most staple cavities 184 with respect to the middle row of the distal-most staple cavities 184 positioned distally, and similarly, the distal-most staple cavities 184 may be the outermost row of the relative intermediate row distal-most staple cavities 184 is positioned distally. 在某些实施方案中,最内一排钉腔184和最外一排钉腔184可彼此横向地对齐,使得(一)最内钉腔184的远侧端部112与最外钉腔184的远侧端部112对齐并且(二) 最内钉腔184的近侧端部111与最外钉腔184的近侧端部111对齐。 In certain embodiments, the innermost row of staple cavities 184 a and the outermost rows of staple cavities 184 can be laterally aligned with one another, such that (a) the most distal end portion of the inner chamber 184 of the staple 112 and the outermost chamber 184 of nail aligned proximal end and a distal end portion 112 (b) the innermost chamber 184 of the staple 111 is aligned with the proximal end 111 of the chamber 184 of the outermost staple. 在各种实施方案中,每个钉腔184及其开口110可具有相同或至少大致相同的构型,并且在至少一个实施方案中,钉腔184在钉排内相对于彼此可等间距地或至少基本上等间距地间隔开。 In various embodiments, each staple cavity 184, and a distance from opening 110 may have the same or at least substantially the same configuration, and in at least one embodiment, the staples within the staple cavities 184 in the row with respect to each other, or the like may be at least substantially equidistantly spaced apart.

[0291] 在各种实施方案中,再次参见图7和8,钉仓142的仓体185还可包括例如被构造成能够接触和压缩靶组织的一个或多个脊部,诸如脊部113,114和115。 [0291] In various embodiments, referring again to FIGS. 7 and 8, staple cartridge body 142 may also include, for example, 185 is configured to be in contact with a target tissue and compressing or more ridges, such as ridges 113 and 114 and 115. 更具体地,现在参见图8A,可闭合端部执行器的砧座120以便紧靠钉仓142来压缩组织T,其中在此类情况下,组织接触平台190以及从其延伸的脊部113,114和115可接合组织。 More particularly, referring now to Figure 8A, can close the anvil of an end effector 120 against the staple cartridge 142 so as to compress the tissue T, where in such a case, the tissue-contacting portion 113, the platform 190 and a ridge extending therefrom and 115 may engage tissue. 在某些情况下,当闭合砧座120时,砧座120可朝钉仓142推压组织,使得组织首先接触脊部113,114和115并且随后接触仓平台190。 In some cases, close the anvil 120 when the anvil 120 toward the staple cartridge 142 may be pressed tissue such that the tissue contacting first ridge portions 113, 114 and 115 and then contacts the cartridge platform 190. 在其它情况下,在该组织接触仓平台190前,钉仓142可抵靠组织定位,使得脊部113,114和115接触组织。 In other instances, the cartridge before contacting the tissue platform 190, staple cartridge 142 abut against the tissue positioned such that the ridge portions 113, 114 and 115 contact the tissue. 在任何情况下,脊部113,114和115-旦接触组织就可防止或至少限制组织和钉仓142之间的相对运动。 In any case, once the ridges 113, 114 and 115- contact tissue can be prevented or at least limit relative movement between the tissue and the staple cartridge 142. 在某些实施方案中,脊部113,114和115可从平坦的或至少基本上平坦的仓平台190向上延伸并且可限定一个或多个凹坑或通道,所述凹坑或通道中例如可被构造成能够接收组织的一部分,并且因此抑制组织在端部执行器的纵向方向和/或横向方向上的相对运动,尤其是当组织至少部分地压缩在砧座120与脊部113,114和115之间时。 In certain embodiments, the ridges 113, 114 and 115 may extend from a flat, or at least substantially planar platform 190 upwardly and the cartridge may define one or more channels or recesses, the recesses or channels can be configured e.g. to be able to receive a portion of tissue, and thereby inhibiting the longitudinal direction of the end effector and / or the relative movement of tissue in the lateral direction, especially when the tissue is at least partially compressed between the anvil 120 and the ridges 113, 114 and 115 . 在各种实施方案中,当脊部113,114和115延伸到仓平台190上方时,在压缩定位在砧座120和仓平台190中间的组织前,可压缩定位在砧座120与脊部113,114和115中间的组织。 In various embodiments, when the top of the ridge portions 113, 114 and 115 extend into the cartridge platform 190, positioned in front of the compression of the intermediate anvil 120 and cartridge tissue platform 190, the ridge 120 is positioned in the compressible portion of the anvil 113 and 114 115 and intermediate tissue. 因此,在一些此类情况下,在压缩定位在砧座120和仓平台190之间的组织的其它部分前,可预压缩(即,至少部分地压缩)定位在砧座120与脊部113,114和115之间的组织。 Thus, in some such cases, the compression part is positioned in front of the other tissue between the anvil 190 and the cartridge platform 120, it may be pre-compressed (i.e., at least partially compressed) is positioned with the anvil 120 and ridges 113, 114 tissue between the 115. 在多种情况下,在组织得到完全压缩之前,由于这种预压缩才控制或防止组织的部分从端部执行器滑出,如下文更详细所述。 In many cases, before the tissue is fully compressed, due to this precompression only part of controlling or preventing tissue from slipping out of the end effector, as described in more detail below.

[0292] 在各种实施方案中,再次参见图7和8,从仓平台190延伸的脊部113可围绕钉腔开口110的近侧端部111延伸。 [0292] In various embodiments, referring again to FIGS. 7 and 8, the ridges extending from the cartridge openable internet 190,113 111,110 proximal end portion extends around the staple cavities. 相似地,从仓平台190延伸的脊部114可围绕钉腔开口110的远侧端部112延伸。 Similarly, ridges 114 extending from the cartridge platform 190 may extend distal end 110 of the chamber 112 around the opening of the staple. 在各种实施方案中,这些近侧脊部113和远侧脊部114可被构造成能够接合定位在钉腔184上方和/或周围的组织并且当组织正被压缩和/或缝合时将组织的这些部分保持就位。 In various embodiments, the proximal spine section 113 and the distal spine section 114 may be configured to be positioned to engage and / or tissue surrounding the upper chamber 184 and the staple when the tissue is being compressed or tissue and / stapling these portions remain in place. 换言之,保持定位在钉腔184上方和/或周围的组织可对于即将进行缝合的组织的部分提供局部控制,并且由此防止或至少限制组织的这些部分和钉仓142之间的相对运动。 In other words, the staple remains positioned above the chamber 184 and thereby prevent or at least limit these portions and the staple cartridge relative movement between the tissue 142 and / or the surrounding tissue may provide local control for the upcoming portion of the tissue suturing. 在各种实施方案中,脊部113和114可围绕全部钉腔184或仅一些钉腔184的开口110定位。 In various embodiments, the ridges 113 and 114 may surround the entire cavity opening 110 the staple 184 is positioned or only some of the chamber 184 of the staple. 在至少一个实施方案中,仓体可包括仅环绕第一侧145和第二侧147的最外排中的钉腔184的脊部113和114。 In at least one embodiment, the cartridge body may include only around the outermost row 145 of the first side and the second side 147 of the staple cavity and the ridges 113 184 114. 在此类实施方案中,环绕最外排钉腔184的脊部可足以阻碍组织在端部执行器内的横向运动。 Ridges such embodiments, the outermost rows of the staple around the chamber 184 may be sufficient to impede lateral movement of the tissue within the end effector. 在某些实施方案中,仓体可仅包括环绕最近侧钉腔184的近侧端部111的近侧脊部113和/或环绕最远侧钉腔184的远侧端部112的远侧脊部114。 In certain embodiments, the cartridge body may include only recently around the proximal end 184 of the proximal staple cavity 111 of the ridges 113 and / or around the distal-most staple cavities 184 of the distal end 112 of the distal spine 114. 在此类实施方案中, 环绕最近侧端和最远侧钉腔184的脊部可足以阻碍组织在端部执行器内的纵向运动。 In such embodiments, rounded to the nearest end of the ridge portion and the distal-most staple side chamber 184 may be sufficient to impede the longitudinal movement of tissue within the end effector.

[0293] 在各种实施方案中,如针对上文进一步所述,每个近侧脊部113可包括例如环绕开口110的近侧端部111的弓形或弯曲外形。 [0293] In various embodiments, as described above for further, each of the proximal spine section 113 may comprise a proximal end portion 110 surrounding the opening 111 is arcuate or curved shape. 每个近侧脊部113的弓形外形可由一种曲率半径或多于一种的曲率半径来限定。 Each arcuate shape of the proximal spine section 113 may be comprised of more than one curvature radius or a curvature radius defined. 相似地,每个远侧端部脊部114可包括例如环绕开口110的远侧端部112的弓形或弯曲外形。 Similarly, each of the distal end portion 114 may comprise, for example, a ridge distal end portion 110 surrounding the opening 112 is arcuate or curved shape. 每个远端脊部114的弓形外形可由一种曲率半径或多于一种的曲率半径来限定。 The distal end portion of each ridge 114 may be comprised of an arcuate profile radius of curvature of more than one curvature radius or be defined. 在某些实施方案中,如针对上文进一步所述,每个脊部113和114可形成凹坑,所述凹坑可接收正被压缩的组织的一部分并且防止组织的该部分相对于钉仓142 纵向和/或横向地运动。 In certain embodiments, as further described above for each of the ridges 113 and 114 may be formed of pits, the pits may receive a portion of the tissue being compressed and prevent the portion of tissue relative to the staple cartridge 142 longitudinal and / or transverse movement. 在各种实施方案中,钉仓142还可包括中间脊部115,所述中间脊部可在钉腔184的相邻排中的相邻脊部113和114之间延伸并且/或连接相邻脊部113和114。 In various embodiments, the staple cartridge 142 may further include an intermediate spine portion 115 may extend adjacent ridges of the intermediate row of staple cavities 184 between adjacent ridges 113 and 114 and / or connecting adjacent ridges 113 and 114. 在至少一个此类实施方案中,一个或多个脊部113,114和115可共同操作地形成跨仓体185的第一侧145或第二侧147延伸的波形脊部,其中在至少一个实施方案中,波形脊部可在仓体142的中心部分和侧部之间延伸。 At least one such embodiment, the one or more ridges 113, 114 and 115 may be formed interoperable across the first side 185 of the cartridge body 145 or wave ridges extending second side 147, wherein in at least one embodiment , the waveform ridge may extend between the central portion of the cartridge body 142 and the side portion. 在各种实施方案中,每个波形脊部可包括例如围绕钉腔184的近侧端部和远侧端部卷绕的多个波浪部分。 In various embodiments, each waveform comprises a plurality of ridges may e.g. undulations wrapped around a proximal end and a distal end portion 184 of the staple cavities. 在各种实施方案中,每个脊部113,114和115可具有由仓平台190限定的高度,其中在某些实施方案中,每个脊部113,114和115跨其长度的高度可为均匀的或者至少基本上均匀的。 In various embodiments, each ridge 113, 114 and 115 may have a platform 190 defined by the height of the cartridge, which in certain embodiments, each ridge 113, 114 and 115 across its length can be highly uniform or at least substantially uniform. 在至少一个实施方案中,每个脊部113,114 和115可具有相同的或至少基本上相同的高度。 In at least one embodiment, each ridge 113, 114 and 115 may have the same or at least substantially the same height.

[0294] 在各种实施方案中,如上文所述,限定于钉仓体中的钉腔可包括定位在其中的钉, 其中当钉处于其未击发位置时,钉的全部可定位在仓平台的顶部表面或组织接触表面下方。 [0294] In various embodiments, as described above, the staple cartridge body defining staple cavity positioned therein may include staples, wherein the staples when in their unfired position, the staple cartridge can be positioned all platforms contacting a top surface or below the surface of tissue. 在某些其它实施方案中,当钉处于其未击发位置时,钉的至少一部分(例如钉腿的末端) 例如可延伸到仓平台的顶部表面或组织接触表面上方。 In certain other embodiments, when the staples are in their unfired position, at least a portion of the staple (e.g., the tips of the staple legs), for example, may extend above the top surface or tissue contacting surface of the cartridge platform. 在一些此类实施方案中,钉的端部可从平台突出并且可在钉仓插入手术部位中时在组织上造成障碍。 In some such embodiments, the end portion of the staple protruding from the platform and can be inserted into the surgical site when the staple cartridge obstacle on the tissue. 在至少一个实施方案中,现在参见图9,当钉在其未击发位置延伸到仓平台190上方时,延伸到例如组织接触仓平台190上方的脊部113和114可至少部分地环绕和保护钉187的钉腿183。 In at least one embodiment, referring now to FIG. 9, when the staple extends into the cartridge deck above 190 in their unfired position, extends into e.g. ridges 113,190 above the tissue contacting the cartridge deck and 114 can partially surround and protect the nail at least 187 staple legs 183. 尽管脊部113和114 可未完全地围绕每个开口110延伸,但在各种实施方案中,近侧脊部113可充分地环绕钉腿末端之一,并且远侧脊部114可充分地环绕另一个钉腿末端,使得在组织紧靠钉仓142进行压缩并且/或者钉187从钉仓142顶出之前,钉腿末端未接触组织。 Although the ridges 113 and 114 may not extend completely around each opening 110, in various embodiments, the proximal spine section 113 may be sufficiently surround one end of the staple legs, and a distal spine section 114 may sufficiently encircle another end of the staple leg, so that the tissue is compressed against the staple cartridge 142 and / or 187 the staples from the staple cartridge 142 before the staple leg tips are not in contact with tissue. 在至少一个实施方案中, 钉腿末端可定位在脊部113和114的顶部表面116下方。 In at least one embodiment, the staple legs may be positioned below the top end surface of the ridge portion 113 and 114 116. 在某些实施方案中,钉腿末端可与脊部113和114的顶部表面116共面。 In certain embodiments, the staple legs 116 can be coplanar with the end of the ridge portion 113 and the top surface 114. 在各种实施方案中,由于脊部113和114所提供的防护,例如可使用具有较高钉高度的钉,而不需要钉末端在其未击发位置从钉仓142突出。 In various embodiments, since the ridge portions 113 and 114 provide protection, for example having a height higher nailing staples, the nail without projecting from the end of the staple cartridge 142 in their unfired position. 在某些实施方案中,再次参见图9,脊部113和114可延伸或增加其中可控制和/或支撑钉187的钉腿183的长度。 In certain embodiments, referring again to FIG. 9, the ridges 113 and 114 may extend or increase the length of which may be controlled and / or the support legs of the staple 187 183. 在至少一个此类实施方案中,每个脊部113和114可延长或增加其中可在其三个侧面上支撑钉腿183的长度。 In at least one such embodiment, the length of each ridge 113 and 114 may extend or increase 183 in which the staple legs may be supported on its three sides. 此类实施方案可防止或者至少降低钉腿183在插入穿过致密组织(诸如支气管组织)时屈曲的可能性。 Such embodiments may prevent or at least reduce the possibility of buckling of the staple legs 183 during insertion through the dense tissue (such as bronchial tissue).

[0295] 在各种实施方案中,再次参见图4,仓体85可包括例如限定于其中的可降低仓体85 的强度的腔84、狭槽62和通道86。 [0295] In various embodiments, referring again to FIG. 4, the cartridge body 85 may comprise, for example, which may be limited to reduce the strength of the cartridge body 85 of the cavity 84, slot 62 and passage 86. 在多种情况下,尤其是当仓体85被砧座20压缩时,例如,仓体85可因其上施加的负荷而挠曲。 In many cases, especially when the cartridge body 85 is compressed anvil 20, for example, the cartridge body 85 may be applied to the load due to flex. 在至少一个此类实施方案中,仓平台90在通道86上延伸的部分例如可为尤其薄的并且尤其可经受挠曲和/或破损。 In at least one such embodiment, the portion 90 extending over the internet, for example, cartridge channel 86 may be particularly thin and, in particular may be subjected to flexing and / or breakage. 在某些实施方案中,再次参见图7和8,脊部113,114和/或115可被构造成能够使仓体185强化和/或变硬。 In certain embodiments, referring again to FIGS. 7 and 8, the ridges 113, 114 and / or 115 may be configured to enable the cartridge body 185 to strengthen and / or stiffen. 在至少一个此类实施方案中,脊部113和114例如可围绕开口110延伸,以便使仓体185环绕钉腔184的部分强化和/或变硬。 In at least one such embodiment, the ridges 113 and 114 surrounding the opening 110 may extend, for example, so that the staple cartridge body 185 surrounding the cavity portion 184 to strengthen and / or stiffen. 在某些实施方案中,脊部115例如可在限定于仓体185内的通道86等上横向延伸,使得脊部115可使环绕通道86的仓体185强化和/或变硬。 In certain embodiments, the ridges 115 may, for example, on a transversely extending channel 86 defined in the other cartridge body 185, so that the ridge portion 115 can surround channel 185 of the cartridge body 86 to strengthen and / or stiffen. 在多种其它实施方案中,仓体185可包括从其延伸的任何合适数量和构型的脊部以便实现本文所述的优点。 In various other embodiments, the cartridge body 185 may comprise any suitable number and its configuration extending ridge portion so as to achieve the advantages described herein.

[0296] 在各种实施方案中,钉仓体185可由例如塑性材料、金属材料、和/或陶瓷材料组成。 [0296] In various embodiments, the staple cartridge body 185 may be made of plastic material, e.g., a metal material, and / or ceramic material. 一些此类材料可包含液晶聚合物(诸如Vectra)、热塑性聚合物(诸如聚碳酸酯、ABS、 Noryl、聚酰胺(尼龙)、聚醚砜、聚醚酰亚胺(诸如Ultem))、和/或上述热塑性聚合物中的两种或更多种的聚合物共混物,其中在各种实施方案中,仓体185可由例如注塑工艺形成。 Some such materials may comprise a liquid crystal polymer (such as Vectra), the thermoplastic polymer (such as polycarbonate, ABS, Noryl, polyamide (nylon), polyether sulfone, polyetherimide (such as Ultem)), and / or or the thermoplastic polymers of two or more polymer blends, which in various embodiments, the cartridge body 185 may be formed, for example, an injection molding process. 一些此类材料可包含热固性聚合物(例如热固性聚酯)、熔模铸造不锈钢(诸如17-4PH)和/或金属注塑不锈钢(诸如17-4PH)。 Some such materials may include thermosetting polymers (e.g. thermoset polyesters), investment casting stainless steel (such as 17-4PH) and / or a metal injection molding of stainless steel (such as 17-4PH). 在至少一个此类实施方案中,脊部113,114和/或115可与仓体185的仓平台190-体形成。 In at least one such embodiment, the ridge portion and / or the platform 115 may be formed with the cartridge body 190- 113, 114 of the cartridge body 185. 在某些实施方案中,可例如通过至少一种粘合剂将脊部113, 114和/或115附接到仓平台190。 In certain embodiments, for example, by at least one adhesive or attachment ridges 113, 114 and / or the cartridge 115 to the platform 190.

[0297] 在各种实施方案中,现在参见图12,钉仓(诸如钉仓342)例如可包括仓体385、限定于仓体385中的多个钉腔384、以及定位在钉腔384中每一个中的钉。 [0297] In various embodiments, referring now to FIG. 12, a staple cartridge (such as staple cartridge 342) may comprise, for example, the cartridge body 385, cartridge body 385 to define a plurality of staple cavities 384 and 384 positioned in the staple cavities each of the nail. 在某些实施方案中,仓体385还可包括具有第一组钉腔384的第一侧345、具有第二组钉腔384的第二侧347、以及仓平台390。 In certain embodiments, the cartridge body 385 further comprises a first side 345 having a first set of staple cavity 384, a second chamber having a second set of staple sides 347,384, and a cartridge platform 390. 在各种实施方案中,仓体385还可包括从仓平台390延伸的可定位在一排钉腔384 中的相邻钉腔384中间的多个脊部315。 In various embodiments, the intermediate from the cartridge 385 may further include a platform positioned in the staple cavities 384 in the row 390 extending cavities adjacent staple cartridge body 384 a plurality of ridges 315. 在至少一个实施方案中,每个脊部315可包含例如十字形或X形构型。 In at least one embodiment, each ridge portion 315 may comprise, for example, cross-shaped or X-shaped configuration. 在至少一个此类实施方案中,例如,每个脊部315可包括可至少部分地环绕钉腔开口310的近侧端部311的V形部分313以及此外可至少部分地环绕另一个钉腔开口310 的远侧端部312的V形部分314。 In at least one such embodiment, for example, each ridge portion 315 may comprise at least partially surround the staple cavities 310 open proximal end 311 of the V-shaped portion 313 and in addition may be at least partially surround the other staple cavity opening 310 distal end 312 of the V-shaped portion 314. 在某些实施方案中,仓体385中的仅最外钉腔384排可至少部分地被脊部315环绕。 In certain embodiments, the cartridge body 385 in the outermost rows of staple cavities 384 may only be at least partially surrounded by a ridge portion 315. 在某些其它实施方案中,现在参见图13,钉仓体385'可包括脊部315, 所述脊部至少部分地环绕仓体中的每个钉腔384的开口310。 In certain other embodiments, now 13, the staple cartridge body 385 'may comprise each staple cavity 315, the ridge portion at least partially surrounds the cartridge body opening 310 in the ridge portion 384 Referring to FIG. 在任何情况下,在各种实施方案中,每个脊部315可被构造成能够如上文所述压缩和控制紧靠钉仓342定位的组织和/或围绕延伸到平台390上方的钉的钉腿。 In any event, in various embodiments, each ridge 315 may be configured as described above can be compressed against the staple cartridge and control the positioning of tissue 342 and / or around the platform 390 extends above the staple leg.

[0298] 在各种实施方案中,现在参见图16,钉仓(诸如钉仓542)例如可包括仓体585、限定于仓体585中的多个钉腔584、以及定位在钉腔584中每一个中的钉。 [0298] In various embodiments, referring now to FIG. 16, a staple cartridge (such as staple cartridge 542) may comprise, for example, the cartridge body 585, cartridge body 585 to define a plurality of staple cavities 584 and 584 positioned in the staple cavities each of the nail. 在某些实施方案中,仓体585还可包括具有第一组钉腔584的第一侧545、具有第二组钉腔584的第二侧547、以及仓平台590。 In certain embodiments, the cartridge body 585 further comprises a first side 545 having a first set of staple cavity 584, a second side having a second set of staple cavities 584 547, the platform 590 and the cartridge. 在各种实施方案中,仓体585还可包括从仓平台590延伸的多个脊部515,其中每个脊部515可完全围绕或包绕钉腔开口510。 In various embodiments, the cartridge body 585 further comprises a plurality of ridges 515 extending from the cartridge platform 590, wherein each ridge 515 may be wrapped completely around the staple or cavity opening 510. 如图16所示,仓体585中的一些腔开口510可不被脊部515环绕;但是,在各种可供选择的实施方案中,现在参见图16A,仓体585'中的每个腔开口510都可被脊部515环绕。 16, the cartridge body 585 in an opening 510 in some of the cavities may not be surrounded by a ridge portion 515; however, in various alternative embodiments, referring now to Figure 16A, the cartridge body 585 'of each chamber opening 510 may be surrounded by a ridge portion 515. 设想仓体包括被脊部515环绕的第一组钉腔584和未被脊部515环绕的第二组钉腔584的多种实施方案,其中具有较高钉高度的钉可定位在第一组钉腔584中并且其中具有较短钉高度的钉可定位在第二组钉腔584中,使得较高钉和较短钉均未从钉仓542突出。 Contemplated staple cartridge body includes a second set of a first set of cavities surrounded by staple cavities 584 and ridges 515 are not surrounded by the ridge 515 584 various embodiments, a staple having a higher height where the staples can be positioned in the first set and staple cavities 584 having a shorter staple height can be positioned in a second set of staple cavity 584, such that the short staple and no higher staples from the staple cartridge 542 protrudes. 在至少一个此类实施方案中,例如,仓体可被构造成能够在一排钉腔584中使用较高钉并且在另一排钉腔584中使用较短钉。 In at least one such embodiment, for example, the cartridge body may be configured to be capable of a higher row of staples in the staple cavities 584 and short staples used in another row of staple cavities 584. 在某些实施方案中,脊部515可环绕仓体中的最外排钉腔584中的全部钉腔584,使得较高钉可用于最外排中并且较短钉可用于例如钉腔584的最内排和/或中间排中。 In certain embodiments, the cartridge body 515 may be surrounded by a ridge portion of the outermost row of staple cavities 584 all staple cavities 584, so that a higher staples can be used in the outermost row of staples and short staple cavities 584 can be used, for example, the the innermost row and / or the intermediate rows.

[0299] 在各种实施方案中,现在参见图14,钉仓(诸如钉仓442)例如可包括仓体485、限定于仓体485中的多个钉腔484、以及定位在钉腔484中每一个中的钉。 [0299] In various embodiments, referring now to FIG. 14, a staple cartridge (such as staple cartridge 442) may comprise, for example, the cartridge body 485, in the cartridge body 485 defines a plurality of staple cavities 484 and 484 positioned in the staple cavities each of the nail. 在某些实施方案中,仓体485还可包括具有第一组钉腔484的第一侧445、具有第二组钉腔484的第二侧447、以及仓平台490。 In certain embodiments, the cartridge body 485 further comprises a first side 445 having a first set of staple cavity 484, a second chamber having a second set of staple sides 447,484, and a cartridge platform 490. 在各种实施方案中,仓体445还可包括从仓平台490延伸的多个脊部415,其中每个脊部415可包括多个滚花或滚花阵列。 In various embodiments, the cartridge body 445 further comprises a platform extending over 490 from the cartridge 415 of ridges, wherein each ridge portion 415 may comprise a plurality of knurled knurled or array. 在使用时,砧座可用于紧靠滚花来定位组织,使得组织适形于滚花的轮廓。 In use, the anvil can be used to position tissue against a knurled, so that the tissue to conform to the contour of the knurled. 在各种实施方案中,每个脊部415可包括例如至少部分地围绕一个或多个钉腔开口410的多个角锥形或菱形滚花,其中在至少一个实施方案中,角锥形滚花可从仓平台490指向上。 In various embodiments, each ridge 415 may comprise, for example, at least partially around a plurality of openings or a plurality of staple cavities 410 or pyramidal diamond knurling, wherein at least one embodiment, the angle of tapered roller flowers from the cartridge deck 490 points. 在至少一个实施方案中,每个角锥形滚花可包括四个三角形侧面,所述四个三角形侧面可会聚在一起形成尖点。 In at least one embodiment, each pyramid knurl may comprise four triangular sides, the four triangular sides may converge together to form a cusp. 在某些实施方案中,参见图15A,脊部415的角锥形滚花可为截短的,其中每个滚花的顶部可包括被倾斜侧面环绕的平坦顶部表面。 In certain embodiments, referring to FIGS. 15A, pyramidal knurled ridges 415 may be truncated, wherein each top knurl may include a flat top surface surrounded by the inclined side face. 尽管可使用四侧面角锥形滚花,现在参见图15C,设想具有少于四个侧面或多于四个侧面(诸如三个侧面)的其它角锥形形状。 Although the use of four-sided pyramidal knurled Referring now to FIG. 15C, it is contemplated having less than four sides or more than four sides (such as three sides) of the other pyramidal shapes. 在各种实施方案中,一个或多个脊部415可包括多个圆锥形滚花, 其中每个圆锥形滚花可包括圆形的或至少基本上圆形的基座,所述基座向上渐缩以形成尖点。 In various embodiments, the one or more ridges 415 may comprise a plurality of conical knurling, wherein each of the conical knurling may comprise a circular, or at least substantially circular base, said base upwardly The tapered to form a sharp point. 在某些实施方案中,现在参见图15B,圆锥形滚花可为截短的,其中每个滚花的顶部可包括被环形侧面环绕的平坦顶部表面。 In certain embodiments, referring now to 15B, the truncated cone may be knurled, wherein each top knurl may include a flat top surface surrounded by the annular side. 在各种实施方案中,再次参见图14,脊部415的滚花可沿着钉腔开口410的侧面和/或在相邻钉腔开口410之间延伸。 In various embodiments, referring again to FIG. 14, the ridges 415 may be knurled opening 410 extending between the sides 410 and / or openings in the staple cavities adjacent along the staple cavities. 在至少一个实施方案中,滚花可围绕钉腔开口410的近侧端部411和/或远侧端部412延伸。 In at least one embodiment, may be knurled proximal end opening 410 of the extension 411 and / or the distal end 412 around the staple cavities. 在某些实施方案中,脊部415的滚花可仅环绕钉腔484中的一些,而在某些其它实施方案中,参见图15,脊部415的滚花例如可覆盖仓平台490的全部或至少基本上全部。 In certain embodiments, the ridges 415 may be knurled around the cavity 484 in only some of the staple, and in certain other embodiments, referring to FIG. 15, a ridge portion, for example, knurling 415 may cover the entire cartridge platform 490 or at least substantially all.

[0300] 在各种实施方案中,现在参见图10,钉仓(诸如钉仓242)例如可包括仓体285、限定于仓体285中的多个钉腔284、以及定位在钉腔284中每一个中的钉。 [0300] In various embodiments, referring now to FIG. 10, a staple cartridge (such as staple cartridge 242) may comprise, for example, the cartridge body 285, cartridge body 285 to define a plurality of staple cavities 284 and 284 positioned in the staple cavities each of the nail. 在某些实施方案中,仓体285还可包括具有第一组钉腔284的第一侧245、具有第二组钉腔284的第二侧247、以及仓平台290。 In certain embodiments, the cartridge body 285 further comprises a first side 245 having a first set of staple cavity 284, a second side having a second set of staple cavities 284 247, the platform 290 and the cartridge. 在各种实施方案中,仓体285还可包括从仓平台290延伸的多个脊部或隆起块215。 In various embodiments, the cartridge body 285 further comprises a plurality of ridges 290 extending cartridge platform 215 or bumps. 在至少一个此类实施方案中,每个脊部215可在邻近刀狭槽262定位的仓体245的中心或中间部分与仓体245的侧部之间横向延伸。 At least one such embodiment, each ridge 215 can be a central or intermediate body portion 245 and the cartridge body 245 extends transversely between the side portion 262 positioned adjacent the knife slot positions. 更具体地,尤其是参见仓体285的第一侧245,每个脊部215可包括邻近刀狭槽262定位的第一端部213和邻近仓体285的第一侧261定位的第二端部214。 More specifically, see especially the first side 245 of the cartridge body 285, each ridge portion 215 may include a 262 knife slot positioned adjacent a first end 213 and a second end adjacent the cartridge positioning member 261 of the first side 285 214. 相似地,现在参见仓体285的第二侧247,每个脊部215可包括邻近刀狭槽262定位的第一端部213和邻近仓体285的第二侧263定位的第二端部214。 Similarly, referring now to the second side of the cartridge body 247 285 of each ridge 215 may include a second end portion 214 of the second side 263 positioned 262 positioned adjacent the knife slot 213 and adjacent to the first end portion 285 of the cartridge body . 在至少一个实施方案中, 每个脊部215可具有从平台290测量的高度,其中在至少一个此类实施方案中,每个脊部215 的高度可沿其长度变化。 In at least one embodiment, each ridge portion 215 may have a height 290 measured from the platform, wherein at least one such embodiment, the height of each ridge portion 215 may vary along its length. 在某些实施方案中,第二端部214可高于第一端部213,并且每个脊部215的高度可在第二端部214和第一端部213之间渐缩。 In certain embodiments, the second end portion 214 may be higher than the first end portion 213, and the height of each ridge portion 215 may be tapered between the second end portion 214 and the first end portion 213. 在某些可供选择的实施方案中,尽管未示出,但脊部215的第一端部213可高于第二端部214。 In certain alternative embodiments, although not shown, the first end portion 215 of the ridge portion 213 may be higher than the second end portion 214. 在至少一个实施方案中,每个脊部215的高度可在端部213和214之间线性或至少基本上线性地渐缩。 In at least one embodiment, the height of each ridge 215 can be between the end portions 213 and 214, or at least substantially linear tapers linearly. 在至少一个此类实施方案中,每个脊部215的高度可从第二端部214处的最大高度渐缩到第一端部213处的完全零高度。 In at least one such embodiment, the height of each ridge 215 may be tapered from a maximum height of the second end portion 214 to a full zero height of the first end portion 213. 在某些实施方案中,每个脊部215的高度可在端部213和214之间几何变化。 In certain embodiments, the height of each ridge portion 215 may vary in geometry between the ends 213 and 214. 在某些可供选择的实施方案中,现在参见图11,每个脊部215 '可具有跨其长度的均匀的高度。 In certain alternative embodiments, referring now to FIG. 11, each ridge portion 215 'may have a uniform height across its length.

[0301] 如上文所述,脊部215的内端213可短于脊部215的外端214。 [0301] As described above, the inner end portion 215 of the ridge 213 may be shorter than the outer end 214 of the ridges 215. 因此,在多种情况下, 相比于外端214,内端213可向夹持在砧座和钉仓242之间的组织施加更小的压力。 Thus, in many cases, as compared to the outer end 214, the terminal 213 may apply less pressure to the tissue clamped between the anvil and the staple cartridge 242. 在各种实施方案中,如上文所述,每个脊部215可跨仓平台290延伸。 In various embodiments, as described above, each ridge 215 extending across the cartridge platform 290. 在某些实施方案中,每个脊部215 可沿着脊部轴线延伸,所述脊部轴线横切仓体285的纵向轴线299。 In certain embodiments, each ridge portion 215 may extend along the axis of the ridge, the ridge portion axis 285 transverse to the longitudinal axis of the cartridge body 299. 在至少一个此类实施方案中,脊部轴线可垂直于或者至少基本上垂直于纵向轴线299。 In at least one such embodiment, the ridge portion may be perpendicular to the axis, or at least substantially perpendicular to the longitudinal axis 299. 在各种实施方案中,钉腔284 可被布置成多个排,其中可沿着如下纵向轴线来限定各排钉腔284,所述纵向轴线可平行于或者至少基本上平行于纵向轴线299。 In various embodiments, the staple cavities 284 can be arranged in a plurality of rows, wherein each row may be defined as follows staple cavities 284 along a longitudinal axis, the longitudinal axis may be parallel or at least substantially parallel to the longitudinal axis 299. 在至少一个实施方案中,脊部215的脊部轴线可沿着横切钉腔284的纵向轴线的方向延伸。 In at least one embodiment, the axis of the ridge portion of the ridge portion 215 may extend along a direction transverse to the longitudinal axis of the staple cavities 284. 在至少一个此类实施方案中,脊部215的脊部轴线可沿着垂直于或者至少基本上垂直于钉腔284的纵向轴线的方向延伸。 In at least one such embodiment, the ridge portion 215 may be the axis of the ridge portion in a direction perpendicular or at least substantially perpendicular to the longitudinal axis of the staple cavities 284 extend. 在各种实施方案中,再次参见图10,每个脊部215可包括冠部209以及此外延伸在冠部209和仓平台290之间的倾斜表面208。 In various embodiments, referring again to Figure 10, each ridge portion 215 may include a crown portion 209 and, in addition extends between the inclined surface 208 of the crown portion 209 and the cartridge 290 internet. 在某些实施方案中,每个倾斜表面208可包括例如一个或多个平坦表面、弯曲表面、凹表面、和/或凸表面。 In certain embodiments, each of the inclined surface 208 may include one or more flat surfaces, a curved surface, concave surface, and / or convex surface. 在各种实施方案中,每个脊部215可沿着如下路径延伸,所述路径跨钉腔284的一个或多个开口210延伸。 In various embodiments, each ridge portion 215 may extend along the following path, the path across the staple cavities 284, one or more openings 210 extend. 在至少一个此类实施方案中,此类开口210可向上延伸穿过脊部215。 At least one such embodiment, such openings 210 can extend upwardly through the spine portion 215. 当脊部215跨仓平台290横向延伸时,脊部215 (类似于脊部115)可增加仓体285的强度和/或硬度。 When the ridge portion 215 extends transversely across the cartridge platform 290, a ridge 215 (similar to ridges 115) of the cartridge body 285 to increase the strength and / or hardness.

[0302] 在各种实施方案中,现在参见图17和18,钉仓(例如钉仓642)例如可包括仓体685、 限定于仓体685中的多个钉腔684、以及定位在每个钉腔684中的钉。 [0302] In various embodiments, referring now to FIGS. 17 and 18, a staple cartridge (e.g., staple cartridge 642) may comprise, for example, the cartridge body 685, cartridge body 685 to define a plurality of staple cavities 684, and positioned at each 684 staples the staple cavities. 在某些实施方案中,仓体685还可包括具有第一组钉腔684的第一侧645、具有第二组钉腔684的第二侧647、以及仓平台690。 In certain embodiments, the cartridge body 685 further comprises a first side 645 having a first set of staple cavity 684, a second side having a second set of staple cavities 684 647, the platform 690 and the cartridge. 在各种实施方案中,仓体685还可包括从仓平台690延伸的多个脊部或隆起块615。 In various embodiments, the cartridge body 685 further comprises a plurality of ridges 690 extending from the cartridge platform 615 or bumps. 在至少一个此类实施方案中,每个脊部615可沿着纵向方向延伸,其中每个脊部615可包括远侧端部613和近侧端部614,其中脊部615的远侧端部613可定位成较靠近仓体685的远侧端部643,并且其中脊部615的近侧端部614可定位成较靠近近侧端部641。 , Each ridge portion 615 may extend at least one such embodiment, the longitudinal direction, wherein each ridge portion 615 may include a distal end 613 and proximal end 614, wherein the distal end portion 615 of the spine 613 may be positioned closer to the distal end 685 of the cartridge body 643, wherein the proximal spine portion 615 and an end portion 614 may be positioned closer to the proximal end portion 641. 在至少一个实施方案中,每个脊部615可具有从平台690测量的高度,其中在至少一个此类实施方案中,每个脊部615的高度可沿其长度变化。 In at least one embodiment, each ridge portion 615 may have a height 690 measured from the platform, wherein at least one such embodiment, the height of each ridge portion 615 may vary along its length. 在某些实施方案中,近端614可高于远端613并且每个脊部615的高度可在近端614和远端613之间渐缩。 In certain embodiments, the proximal end 613 and distal end 614 may be greater than the height of each ridge 615 may be tapered between the proximal 614 and distal ends 613. 在某些可供选择的实施方案中,尽管未示出, 但脊部615的远侧端部613可高于近侧端部614。 In certain alternative embodiments, although not shown, the distal end portion 615 of the ridge 613 may be higher than the proximal end 614. 在至少一个实施方案中,每个脊部615的高度可在端部613和614之间线性或至少基本上线性地渐缩。 In at least one embodiment, the height of each ridge 615 may be linear or at least substantially linearly between the tapered end portions 613 and 614. 在至少一个此类实施方案中,每个脊部615的高度可从近侧端部614处的最大高度渐缩到远侧端部613处的完全零高度。 In at least one such embodiment, the height of each ridge 615 may be tapered from a maximum height of proximal end 614 to the full height of zero at the distal end portion 613. 在某些实施方案中,每个脊部615的高度可在端部613和614之间几何变化。 In certain embodiments, the height of each ridge portion 615 may vary in geometry between the ends 613 and 614. 在某些可供选择的实施方案中,每个脊部615可具有跨其长度的均匀的高度。 In certain alternative embodiments, each ridge portion 615 may have a uniform height across its length.

[0303] 如上文所述,脊部615的远侧端部613可短于脊部615的近侧端部614。 [0303] As described above, the distal end portion 613 of the ridge portion 615 may be shorter than the proximal spine portion 615 of the end portion 614. 因此,在多种情况下,相比于近侧端部614,远侧端部613可向夹持在砧座和钉仓642之间的组织施加较小的压力。 Thus, in many cases, as compared to the proximal end 614, distal end 613 may apply less pressure to the tissue clamped between the anvil and the staple cartridge 642. 在各种实施方案中,如上文所述,每个脊部615可跨仓平台690纵向延伸。 In various embodiments, as described above, each ridge portion 615 may extend longitudinally across the cartridge platform 690. 在某些实施方案中,每个脊部615可沿着脊部轴线延伸,所述脊部轴线平行于或者至少基本上平行于仓体685的纵向轴线699。 In certain embodiments, each ridge portion 615 may extend along the axis of the ridge, the ridge portion, or at least substantially parallel to the axis parallel to the longitudinal axis 685 of the cartridge body 699. 在各种实施方案中,钉腔684可被布置成多个排,其中可沿着如下纵向轴线来限定各排钉腔684,所述纵向轴线可平行于或者至少基本上平行于脊部615的脊部轴线。 In various embodiments, the staple cavities 684 can be arranged in a plurality of rows, wherein each row may be defined as follows staple cavities 684 along a longitudinal axis, the longitudinal axis may be parallel or at least substantially parallel to the ridge portion 615 ridge axis. 在至少一个实施方案中,再次参见图18,每个脊部615可包括倾斜表面,所述倾斜表面可包括例如一个或多个平坦表面、弯曲表面、凹表面、和/或凸表面。 In at least one embodiment, referring again to Figure 18, each ridge portion 615 may include an inclined surface, the inclined surface may include one or more flat surfaces, a curved surface, concave surface, and / or convex surface. 在至少一个此类实施方案中,倾斜表面的底部可面向远侧,这样使得当将组织定位在端部执行器中时有利于组织在整个钉仓642上滑动。 In at least one such embodiment, the inclined bottom surface of the distal face, such that when the tissue is positioned to facilitate tissue on the entire slide staple cartridge 642 when the end effector. 在各种实施方案中,每个脊部615可沿着如下路径延伸,所述路径跨钉腔684的一个或多个开口610延伸。 In various embodiments, each ridge portion 615 may extend along the following path, the path across the staple cavities 684, one or more openings 610 extend. 在至少一个此类实施方案中,此类开口610可向上延伸穿过脊部615。 At least one such embodiment, such openings 610 can extend upwardly through the spine portion 615. 当脊部615跨仓平台690横向延伸时,脊部615可增加仓体685的强度和/或硬度。 When the ridges 615 extend laterally across the cartridge platform 690, the ridges 615 increase the strength of the cartridge body 685 and / or hardness.

[0304] 在各种实施方案中,除了上文所述,外科钉可包含钛,例如钛丝。 [0304] In various embodiments, further to the above, a surgical staple can comprise titanium, titanium wire, for example. 在某些实施方案中,外科钉可由例如包含钛、铝和/或钒的合金构成。 In certain embodiments, a surgical staple can be e.g. comprising titanium, aluminum and / or vanadium alloy. 在至少一个实施方案中,外科钉可由例如外科不锈钢和/或合金构成,所述合金由钴和铬构成。 In at least one embodiment, the surgical staple may be made such as surgical stainless steel and / or alloy, said alloy is composed of cobalt and chromium. 在任何情况下,外科钉可由金属(例如钛)和金属氧化物外表面(例如三氧化钛)构成。 In any case, the surgical staple may be made of metal (e.g. titanium) and an outer surface of a metal oxide (e.g. titanium oxide) configuration. 在各种实施方案中,可用材料涂覆金属氧化物外表面。 In various embodiments, the available material coated metal oxide outer surface. 在某些实施方案中,涂层材料可包含例如聚四氟乙烯(PTFE)(诸如Tefl〇n K) 和/或四氟乙烯(TFE)储如乙烯-四氟乙烯(ETFE)、全氟烷氧基乙烯-四氟乙烯(PFA))和/或氟化乙烯丙烯(FEP)。 In certain embodiments, the coating material may comprise, for example, polytetrafluoroethylene (the PTFE) (such as Tefl〇n K) and / or tetrafluoroethylene (TFE) reservoir such as ethylene - tetrafluoroethylene (ETFE), perfluoroalkoxy oxy ethylene - tetrafluoroethylene (the PFA)) and / or fluorinated ethylene propylene (FEP). 某些涂层可包含硅。 Some coating may comprise silicon. 在多种实施方案中,此类涂层材料可防止或至少阻碍金属进一步氧化。 In various embodiments, such a coating material may prevent or at least impede further oxidation of the metal. 在某些实施方案中,涂层材料可提供一个或多个润滑表面,砧座或钉凹坑可紧靠这些表面而接触钉,以便降低它们之间的摩擦力。 In certain embodiments, the coating material may provide one or more lubricated surface, the anvil staple pocket or against these surfaces can contact the staple, in order to reduce friction therebetween. 在多种情况下,钉和钉凹腔之间的较低摩擦力可降低使钉变形所需的力。 In many cases, low friction between the staple and staple cavities can be reduced so that the force required to deform the staples.

[0305] 提交于2010年9月29日的名称为"STAPLE CARTRIDGE"的美国专利申请公布2012/ 0074198 (现为美国专利8,733,613)以及提交于201 3年2月21日的名称为"STAPLE CARTRIDGE"的美国专利申请公布2013/0161375的公开内容据此全文以引用方式并入本文。 Name [0305] filed on September 29, 2010 as "STAPLE CARTRIDGE" US Patent Application Publication 2012 / 0,074,198 (now US Patent 8,733,613) and submitted in 2013 the name February 21 as "STAPLE CARTRIDGE" US Patent application publication 2013/0161375 the disclosure of which is hereby incorporated by reference herein.

[0306] 外科缝合器械的端部执行器示于图23和图55中。 [0306] an end effector of a surgical stapling instrument shown in FIG. 23 and FIG. 55. 端部执行器可包括砧座诸如砧座20、以及钳口或者被构造成能够可移除地将钉仓支撑于其中的钉仓通道22。 An end effector can include an anvil, such as anvil 20, or jaws and configured to be removably support a staple cartridge therein staple cartridge channel 22. 钉仓2000例如被定位在仓通道22中。 A staple cartridge 2000, for example, the cartridge is positioned in the channel 22. 钉仓2000可包括仓体2010,所述仓体包括限定于其中的多个钉腔2050。 The staple cartridge 2000 can comprise a cartridge body 2010, the cartridge comprises a body defining therein a plurality of staple cavities 2050. 每个钉腔2050可被构造成能够可移除地将钉存储于其中。 Each staple cavity 2050 can be configured to removably store staples therein. 仓体2010可包括平台表面2011以及限定在平台表面2011中的被构造成能够可移除地将击发构件和/或刀刃接收于其中的纵向狭槽2015。 The cartridge body 2010 may include a platform surface defined in the deck surface 2011 and 2011 are configured to be removably firing member and / or blade received in a longitudinal slot 2015 therein. 仓体2010还可包括远侧端部2013、近侧端部2016、以及在远侧端部2013 和近侧端部2016之间延伸的相对纵向侧2012。 The cartridge body 2010 further includes a distal end 2013, proximal end 2016, and 2012 between the opposite longitudinal sides of distal end 2013 and proximal end 2016 extends. 在各种情况下,每个纵向侧2012可包括邻接或连续的边缘而不存在限定于其中的中断。 In each case, each longitudinal side 2012 may comprise contiguous or continuous edge defining the interrupt not present therein. 在比较(例如)图7和图23时,读者将理解,图7中所示的钉仓142的纵向侧包括限定于其中的至少一个凹口,而纵向侧2012不包括此类凹口。 In Comparative (e.g.) FIGS. 7 and 23, the reader will appreciate, the staple cartridge shown in FIG. 7 is a longitudinal side 142 comprises defining at least one recess therein, while the longitudinal side 2012 does not include such a recess. [0307] 主要参见图55,仓体2010还可包括从平台表面2011延伸的多个突出部2051。 [0307] Referring primarily to FIG. 55, further comprising a plurality of projecting portions extending from the deck surface of the cartridge body 2011 20102051. 突出部2051可被构造成能够接合定位在砧座20与仓2000中间的组织并控制组织相对于仓2000 的移动。 Projecting portion 2051 may be configured to be engageable with the cartridge 20 positioned in the middle of the tissue 2000 and anvil to move relative to control tissue 2000 cartridge. 在各种情况下,组织可相对于仓2000移动。 In various circumstances, tissue can move relative to the cartridge 2000. 在至少一种情况下,当砧座20在打开位置(图23)与闭合位置之间移动时,组织可相对于仓2000流动,在所述闭合位置中,组织挤压在砧座20与仓2000之间。 In at least one circumstance, when the anvil 20 in an open position (FIG. 23) and moves between a closed position, tissue relative to the flow cartridge 2000, in the closed position, the tissue pressed against the cartridge 20 and the anvil between 2000. 在此类情况下,组织可朝着纵向侧2012侧向地流动、朝着远侧端部2013朝远侧流动、并且/或者朝着近侧端部2016朝近侧流动。 In such cases, the longitudinal tissue can flow laterally toward the sides 2012, 2013 toward the distal end toward the distal flow, and / or towards the proximal end 2016 to flow proximally. 在至少一个其它情况下,当刀刃朝远侧推进穿过捕获在砧座20与仓2000之间的组织时,组织可相对于仓2000流动。 In at least one other cases, when the blade is advanced distally through the anvil 20 to capture the cartridge 2000 when the flow of the tissue between the cartridge 2000, tissue may be in phase. 在此类情况下,组织可侧向地、朝远侧和/或朝近侧流动,但由于刀刃朝远侧移动,因此组织主要朝远侧流动。 In such cases, the organization may be laterally, distally and / or proximally flow, but because the blade moves distally, thus tissue distally main flow. 在各种情况下,突出部2051可被构造成能够限制或阻止组织相对于钉仓的流动。 In each case, the protruding portion 2051 may be configured to be able to limit or prevent tissue relative to the flow of the staple cartridge. 突出部2051可被定位在钉腔2050的近侧端部和/或远侧端部处。 Projecting portion 2051 may be positioned at the proximal end of the staple cavity 2050 and / or the distal end. 在各种情况下,每个突出部2051可包括围绕钉腔2050的端部延伸的箍。 In each case, each protrusion 2051 may include a cuff around an end portion extending staple cavities 2050. 在各种情况下,每个突出部2051可包括围绕钉腔2050的端部延伸的弓形脊部。 In each case, each protrusion 2051 may include an arcuate end portion of a ridge portion extending around the staple cavities 2050.

[0308] 主要参见图55,仓体2010可包括在仓体2010的远侧末端和平台表面2011之间延伸的倾斜过渡2014。 [0308] Referring primarily to FIG. 55, the cartridge body 2010 may include a transition 2014 between the inclined extending distal tip 2011 and the surface 2010 of the cartridge body platform. 当将仓2000和砧座20定位在手术部位内时,倾斜过渡2014可促进仓2000 相对于组织的移动。 When the surgical site is within the inclined transition cartridge 2000 and the anvil 20 may facilitate movement of the cartridge 2014 is positioned relative to the tissue in 2000. 在此类情况下,组织可在倾斜表面2014上滑动。 In such cases, the organization may be slidable on the inclined surface 2014. 在各种情况下,倾斜表面2014可包括倒圆表面。 In each case, the inclined surface 2014 may comprise a rounded surface. 在各种情况下,倾斜表面2014可包括成角表面。 In each case, the inclined surface 2014 may comprise angled surfaces. 在某些情况下,倾斜表面2014可包括凹表面和/或凸表面。 In some cases, the inclined surface 2014 may comprise a concave surface and / or convex surface. 在至少一种情况下,如图55所示,倾斜表面2014可包括远侧凹表面,该远侧凹表面过渡成平坦的成角表面,该平坦的成角表面过渡成例如近侧凸表面。 In at least one case, shown in Figure 55, the inclined surface 2014 may comprise a distal concave surface, the concave surface of the transition to a flat distal angled surface, the angled flat surface near the transition to the side surface, for example.

[0309] 限定于仓体2010中的钉腔2050可被布置成纵向排。 [0309] limited to the staple cavities 2010 in the cartridge body 2050 may be arranged in longitudinal rows. 例如,三个纵向排钉腔2050可布置在纵向狭槽2015的第一侧上,并且三个纵向排钉腔2050可布置在纵向狭槽2105的第二侧上。 For example, three longitudinal rows of staple cavities 2050 may be disposed on a first side of the longitudinal slot 2015, and three longitudinal rows of staple cavities 2050 may be disposed on a second side of the longitudinal slot 2105. 每个纵向排可包括邻近远侧端部2013的最远侧钉腔2050和邻近近侧端部2016的最近侧钉腔2050。 Each longitudinal row may include a proximal-most staple cavities 2050 and the distal-most staple cavities 2050 adjacent the proximal end 2013 adjacent the distal end 2016. 在各种情况下,仓体2010还可包括从平台表面2011延伸的突出部2053。 In each case, the cartridge body 2010 further includes a projecting portion extending from the platform 20532011 surface. 突出部2053可定位在最远侧钉腔2050的远侧端部处。 Protruding portions 2053 may be positioned at the distal end of the distal-most staple cavities 2050. 每个突出部2053可包括例如远侧倾斜表面, 该远侧倾斜表面被构造成能够促进组织插入在钉仓2000与砧座20之间。 Each projecting portion 2053 may comprise, for example, the distal surface is inclined, the inclination of the distal surface is configured to promote tissue interposed between the staple cartridge 2000 and the anvil 20. 在各种情况下,最远侧腔2050可各自包括定位在其远侧端部处的突出部2053以及定位在其近侧端部处的突出部2051。 In each case, the most distal lumen 2050 may each include a protruding portion positioned at the distal end thereof and a projecting portion 2053 is positioned at its proximal end at 2051.

[0310] 每个突出部2051和/或突出部2053可被构造成能够支撑可移除地存储在钉腔2050 中的钉的至少一部分。 [0310] and / or the projecting portion of each projecting portion may be configured to 20,512,053 may be capable of supporting the staples in the staple cavities 2050. removably storing at least a portion. 在各种情况下,每个突出部2051可使钉腔2050的端壁2052延伸到平台2011之上。 In each case, each projection can staple cavities 2051 2050 2052 end wall 2011 extending above the platform. 在某些情况下,总体上参见图24以及图26至图29,定位在钉腔2050内的钉可包括基部、以第一角度从基部延伸的第一腿部以及以第二角度从基部延伸的第二腿部。 In some cases, generally see FIG. 24 and FIG. 26 to FIG. 29, the staples positioned within the staple cavities 2050 may include a base, a first leg portion extending at a first angle from the base portion and extending from the base at a second angle the second leg. 第一腿部可与钉腔2050的第一端壁2052 (图55)接触并且第二腿部可与所述钉腔的第二端壁2052接触。 The first leg portion may be in contact with the first end wall staple cavities 2052 (FIG. 55) and the second leg portion 2050 may be in contact with the second end wall 2052 of the staple chamber. 在某些情况下,钉的第一腿部与第二腿部之间的距离或宽展可大于端壁2052之间的距离,使得当钉定位在钉腔2050内时,腿被端壁2052向内偏置。 In some cases, between the nail and the first leg or the second leg of spread may be greater than the distance the distance between the end wall 2052, is positioned such that the staples within the staple cavities 2050, 2052 by an end wall leg biased inwardly. 当钉存储在钉腔2050内的其未击发或未提升位置处时,钉腿的末端可定位在突出部2051内。 When the staples stored within the staple cavities 2050 or enhance their unfired position, the tips of the staple legs may be positioned within the protruding portion 2051. 在此类情况下,突出部2051可将钉腿的末端支撑到平台2011之上并保护所述末端。 In such cases, the protruding portions 2051 may be supported to the end of the staple leg 2011 on the internet and to protect the tip. 在一些情况下,当钉处于其未击发位置时,钉腿的末端可定位在突出部2051之下,并且因此,当钉处于处于其未击发位置时,突出部2051可不支撑钉腿。 In some cases, when the staples are in their unfired position, the end of the staple legs may be positioned under the projection 2051, and therefore, when the staple is in its unfired position, the protruding portion 2051 is not supported in the staple legs. 当此类钉被击发或提升出钉腔2050时,钉腿于是可与突出部2051接触并被所述突出部支撑。 Such staples when fired upon or lifted out of 2050, then the staple legs may be in contact with the staple cavity and the projecting portion 2051 projecting portion is supported. 在任何情况下,突出部2051都能够在部署钉时支撑钉腿,直到钉已被充分击发和/或提升出钉腔2050,使得钉腿不再与突出部2051接触。 In any case, the projecting portion 2051 can be supported on the deployment of the staple legs, until it has been sufficiently firing the staples and / or lifted out of the staple cavities 2050, 2051 such that the staple legs are no longer in contact with the projecting portion. 突出部2053可以类似于结合突出部2051所述的方式运行。 Projecting portion 2053 may be similar manner as described in conjunction with the protruding portion 2051 is running.

[0311] 在各种情况下,除上文所述之外,突出部2051可使钉腔2050延伸到仓体2010的平台2011之上。 [0311] In each case, in addition to the above, the protruding portion 2051 of staple cavities 2050 can extend above the platform 2011 of the cartridge body 2010. 在某些情况下,突出部2051可被构造成能够使得钉腔2050的端壁2052无缝地延伸到突出部2051中。 In some cases, the projecting portion 2051 may be configured to enable the staple cavities 2050 2052 seamless end wall portion 2051 extends to the protrusion. 换言之,可在端壁2052和突出部2051之间限定无缝表面。 In other words, a seamless surface may be defined between the end walls 2052 and 2051 projecting portion. 此类无缝表面可降低紧靠端壁2052和突出部2051偏置的钉腿接触限定于钉腔2050内的边缘或阶梯和/ 或钻入钉腔2050的端壁中的可能性。 Such a seamless surface may be reduced or stepped edge against the end wall 2052 and the inner portion 2051 protruding biased contact with the staple legs to define the staple cavities 2050 and / or the possibility of the end of the stud cavities drilled in 2050. 图55A示出了限定于突出部2051和端壁2052之间的阶梯2056。 FIG 55A shows a step defined between the projecting portions 2056 and 2051 of end walls 2052. 虽然阶梯2056包括向外阶梯而不是向内阶梯,但阶梯2056可被消除以提供如上所讨论的无缝表面。 While the step 2056 rather than step comprises inwardly stepped outwardly, but step 2056 may be eliminated to provide a seamless surface as discussed above. 在其中仓体2010于注塑过程期间形成的实施方案中,仓2010可形成在限定于注塑模具的两个半块之间的模具腔中。 In embodiments in which during the injection molding process 2010 is formed in the cartridge body, the cartridge 2010 may be formed in the mold cavity defined between the two halves in an injection mold. 注塑模具的两个半块可彼此接触以密封或至少基本上密封模具腔。 Two halves of the injection mold may contact each other or at least substantially sealed to seal the mold cavity. 两个模具半块之间的接合部通常被称为密封线或分模线,并且通常,在仓体中沿密封线形成有小凸边或唇缘。 Joint between two mold halves or sealing line is commonly referred to the parting line, and typically, in the cartridge body along the sealing line is formed with a small lip or bead. 当密封线用于在注塑过程期间将空气从模具腔排出时,尤其如此。 When the seal line for discharging air from the mold cavity during the injection molding process, in particular. 这种凸边或唇缘通常被称为"毛边"。 Such flange or lip commonly called "burr." 注塑模具可仔细设计使得密封线在端壁2052和/或突出部2051的面向内表面中不产生凸边或唇缘。 Injection mold can be carefully designed such that the sealing line does not produce the rim or lip facing the inner surface of the end wall 2052 and / or 2051 in the protruding portion. 在至少一种情况中,突出部2051 可包括端箍部分2057以及从箍部分的相对端部延伸至平台2011的过渡部分2058。 In at least one case, the projecting portion 2051 may comprise an end portion of cuff 2057 and a transition portion extending from opposite ends of the cuff portion 2011 to the platform 2058. 两个模具半块之间的密封线可被选择成使得密封线沿突出部2051的顶部表面延伸。 Sealing line between the two mold halves may be selected such that seal lines extending along the top surface of the projecting portion 2051. 图55A中示出了示例性密封线2059,但可以选择其它合适的密封线。 FIG. 55A shows an example seal line 2059, but can choose other suitable sealing line.

[0312] 图56和图57中示出了钉仓2800。 In [0312] Figures 56 and 57 illustrate staple cartridge 2800. 钉仓2800可包括仓体2810。 The staple cartridge 2800 can comprise a cartridge body 2810. 仓体2810可包括远侧端部2813、近侧端部2816、以及相对侧面2812。 2810 may include a cartridge body 2813, a proximal end 2816 and distal end 2812 opposite sides. 类似于上文所述,每个侧面2812可包括其中未限定有凹口的邻接边缘。 Similar to above, each of the side surface 2812 may include a notch which is not defined joining edge. 仓体2810还可包括平台2811、限定于平台2811中的多个钉腔2850、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽2815。 The cartridge body 2810 further includes a platform 2811, the platform defines a plurality of staple cavities 2811 in 2850, and is configured to be able to receive, for example, the edges of the firing member 2815 of the longitudinal slot. 仓体2810还可包括从平台2811延伸的脊部2851。 The cartridge body 2810 may further comprise a ridge portion extending from the platform 28,112,851. 在各种情况下,脊部2851可包括图案。 In each case, the ridge portion 2851 may include a pattern. 在至少一种情况下,每个脊部2851可在侧面2812与纵向狭槽2815之间延伸。 In at least one case, each ridge may extend between the side surfaces 2851 2812 2815 and the longitudinal slot. 每个脊部2851可包括任何合适的构型, 例如平台。 Each ridge portion 2851 may comprise any suitable configuration, such as the internet. 一个或多个钉腔2850可延伸穿过脊部2851。 One or more staple cavities 2850 can extend through the spine portion 2851. 在一些情况下,内排钉腔2850中的钉腔2850的至少一部分、中间排钉腔2850中的钉腔2850的至少一部分、和/或外排钉腔2850中的钉腔2850的至少一部分可延伸穿过脊部2851的平台。 In some cases, the inner row of staple cavities 2850 in the staple cavities at least part of 2850, at least a part of the intermediate row of staple cavities 2850 in the staple cavities 2850, and / or an outer row of staple cavities 2850 in the staple cavities at least a portion 2850 may extends through the ridge portion 2851 of the internet. 每个脊部2851可包括邻近纵向狭槽2815定位的内端2858以及邻近侧面2812定位的外端2859。 Each ridge portion 2851 may include a 2815 positioned adjacent the inner end of the longitudinal slot 2858 and 2812 positioned adjacent the outer end of the side surface 2859. 在某些情况下,内端2858可相对于外端2859在远侧定位。 In some cases, the end 2858 may be positioned relative to the outer distal end 2859. 在其它情况下,尽管未示出,但外端2859可相对于内端2858在远侧定位。 In other cases, although not shown, the outer ends 2859 relative to 2858 at an inner end positioned distally. 脊部2851可例如为平行的。 Ridges 2851 may be, for example, in parallel. 在某些情况下,脊部2851可包括例如胎面图案。 In some cases, the ridge portion 2851 may comprise, for example, the tread pattern. 在至少一种情况下,在纵向狭槽2815的第一侧上从平台2811延伸的脊部2851可包括在纵向狭槽2815 的第二侧上从平台延伸的脊部2851的镜像图像。 In at least one case, the ridges on a first side of the longitudinal slot 2815 extending from the platform may comprise 28112851 mirror image on a second side of the longitudinal slot 2815 extending from the platform of the ridge portion 2851. 在各种情况下,可在脊部2851之间限定间隙。 In each case, a gap may be defined between ridges 2851. 组织可例如在组织由砧座压缩抵靠仓平台2811时流入所述间隙。 Tissue such as tissue can be compressed by the anvil 2811 when abutting against the cartridge flows into the gap in the platform. 所述间隙能够沿期望的方向引导组织的流动。 The tissue gap can be guided in a desired direction of flow.

[0313] 钉仓2900如图58所示。 [0313] 58 the staple cartridge 2900 as shown in FIG. 钉仓2900可包括仓体2910。 The staple cartridge 2900 can comprise a cartridge body 2910. 仓体2910可包括远侧端部2913、 近侧端部、以及相对侧面2912。 2910 may include a cartridge body 2913, a proximal end and a distal end 2912 opposite sides. 类似于上文所述,每个侧面2912可包括其中未限定有凹口的邻接边缘。 Similar to above, each of the side surface 2912 may include a notch which is not defined joining edge. 仓体2910还可包括平台2911、限定于平台2911中的多个钉腔2950、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽2915。 The cartridge body 2910 further includes a platform 2911, the platform defines a plurality of staple cavities 2911 in 2950, ​​and is configured to be able to receive, for example, the edges of the firing member 2915 of the longitudinal slot. 仓体2910还可包括从平台2911延伸的脊部2951。 The cartridge body 2910 may further comprise a ridge portion extending from the platform 29,112,951. 在各种情况下,脊部2951可包括图案。 In each case, the ridge portion 2951 may include a pattern. 每个脊部2951可在仓体2910的远侧端部2913与近侧端部之间延伸。 Each ridge portion 2951 may extend between the proximal end 2913 of the distal end portion 2910 of the cartridge body. 在至少一种情况下,每个脊部2951可朝着侧面2912并且朝着纵向狭槽2915延伸。 In at least one case, each ridge may extend toward the side portions 2951 and 2912 towards the longitudinal slot 2915. 在各种情况下,每个脊部2951可包括向内并且朝近侧延伸的成角度部分2954、纵向延伸的直部2955、以及向内并且朝远侧延伸的成角度部分2956。 In each case, each ridge portion 2951 and may include inwardly angled proximally extending portions 2954, 2955 extending longitudinally straight portion, and angled inwardly and distally extending portion 2956. 脊部2951可围绕钉腔2950延伸和/或在所述钉腔之间延伸。 2951 2950 ridges may extend and / or cavities extending between the staple around the staple cavities. 在至少一种情况下,成角度部分2954和成角度部分2956可在纵向排钉腔2950的钉腔2950之间延伸。 In at least one case, an angled portion 2954 and the angled portion 2956 may extend between longitudinal rows of staple cavities 2950 of staple cavities 2950. 脊部2951可例如彼此平行。 Ridges 2951 may be, for example, parallel to each other. 在某些情况下, 脊部2951可包括例如胎面图案。 In some cases, the ridge portion 2951 may comprise, for example, the tread pattern. 在至少一种情况下,在纵向狭槽2915的第一侧上从平台2911延伸的脊部2951可包括在纵向狭槽2915的第二侧上从平台延伸的脊部2951的镜像图像。 In at least one case, the ridges on a first side of the longitudinal slot extending from the platform 2915 may comprise 29112951 mirror image on the second side of the longitudinal slot 2915 extending from the platform of the ridge portion 2951. 在各种情况下,可在脊部2951之间限定间隙。 In each case, a gap may be defined between ridges 2951. 组织可例如在组织由砧座压缩抵靠仓平台2911时流入所述间隙。 Tissue such as tissue can be compressed by the anvil 2911 when abutting against the cartridge flows into the gap in the platform. 所述间隙能够沿期望的方向引导组织的流动。 The tissue gap can be guided in a desired direction of flow.

[0314] 钉仓可包括从其延伸的均匀突出部阵列。 [0314] a staple cartridge can include a uniform array of protrusions extending therefrom. 在其它情况下,阵列可不为均匀的。 In other cases, the array may not be uniform. 在某些情况下,阵列中的突出部可不使钉腔延伸。 In some cases, the protruding portions may make the array extending staple cavities. 在各种情况下,阵列中的突出部可不支撑钉。 In each case, the protruding portions may support a staple in the array.

[0315] 图59和图60中示出了钉仓3000。 [0315] FIG. 59 and FIG. 60 shows a staple cartridge 3000. 钉仓3000可包括仓体3010。 The staple cartridge 3000 can comprise a cartridge body 3010. 仓体3010可包括远侧端部3013、近侧端部、以及相对侧面3012。 3010 may include a cartridge body 3013, a proximal end and a distal end 3012 opposite sides. 类似于上文所述,每个侧面3012可包括其中未限定有凹口的邻接边缘。 Similar to above, each of the side surface 3012 may include a notch which is not defined joining edge. 仓体3010还可包括平台3011、限定于平台3011中的多个钉腔3050、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽3015。 The cartridge body 3010 further includes a platform 3011, the platform 3011 defines a plurality of staple cavities 3050, and is configured to be able to receive, for example, the edges of the firing member 3015 of the longitudinal slot. 仓体3010还可包括从仓平台3011延伸的突出部3051。 The cartridge body 3010 further includes a projecting portion extending from the cartridge 3051 3011 platform. 在各种情况下,突出部3051可包括图案。 In each case, the protruding portion 3051 may include a pattern. 在至少一种情况下,每个突出部3051可包括角锥形构型。 In at least one case, each protrusion 3051 may include a pyramidal configuration. 角锥形构型可包括例如以点终结的四个侧面。 Pyramidal configuration, for example, may include four side surfaces of the end point. 另选地,这四个侧面可例如以平坦的表面终结。 Alternatively, this may be, for example, four sides of a flat end surface. 另选地,角锥形构型可包括例如以点终结的三个侧面。 Alternatively, the pyramidal configuration may comprise, for example, three sides of the end point. 在任何情况下,如图59所示,突出部阵列3051可在纵向狭槽3015与侧面3012之间跨平台3011 延伸。 In any case, as shown in Figure 59, the protrusion 3051 may extend across the array between the platform 3011 and the side surface of the longitudinal slot 3015 3012. 突出部3051可围绕钉腔3050布置。 Projecting portion 3051 may be disposed around the staple cavities 3050. 钉腔3050可被布置成纵向排且突出部3051可定位在纵向排钉腔3050内的钉腔3050中间。 Staple cavities 3050 may be arranged in longitudinal rows and protruding portions 3051 may be positioned within the longitudinal rows of staple cavities of the staple cavities 3050 3050 intermediate. 突出部3051可定位在相邻纵向排钉腔3050中的钉腔3050中间。 Protruding portions 3051 may be positioned between adjacent longitudinal rows of staple cavities 3050 in intermediate staple cavities 3050. 突出部3051可定位在最内排钉腔3050与纵向通道3015中间。 Projection 3051 may be positioned intermediate the innermost longitudinal row of staple cavities 3050 and 3015 channels. 突出部3051可定位在最外排钉腔3050与侧向边缘3012中间。 3051 protruding portion 3012 may be positioned intermediate the outermost row of staple cavities 3050 and lateral edges. 突出部3051可相对于最远侧钉腔3050在远侧定位。 With respect to the projection 3051 may be the distal-most staple cavities 3050 is positioned distally. 突出部3051可相对于最近侧钉腔3050在近侧定位。 Protruding portions 3050 may be positioned with respect to the 3051 most staple cavity proximally. 突出部3051可相对于纵向狭槽3015 的远侧端部在远侧定位。 3051 with respect to the projection distal end of the longitudinal slot 3015 positioned distally. 在其它情况下,突出部3051可相对于纵向狭槽3015的远侧端部在远侧定位。 In other cases, with respect to the projection 3051 may be the distal end of the longitudinal slot 3015 positioned distally.

[0316] 图61和图62中示出了钉仓3100。 [0316] FIGS. 61 and Fig. 62 shows a staple cartridge 3100. 钉仓3100可包括仓体3110。 The staple cartridge 3100 can comprise a cartridge body 3110. 仓体3110可包括远侧端部3113、近侧端部、以及相对侧面3112。 3110 may include a cartridge body 3113, a proximal end and a distal end 3112 opposite sides. 类似于上文所述,每个侧面3112可包括其中未限定有凹口的邻接边缘。 Similar to above, each of the side surface 3112 may include a notch which is not defined joining edge. 仓体3110还可包括平台3111、限定于平台3111中的多个钉腔3150、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽3115。 The cartridge body 3110 further includes a platform 3111, the platform 3111 defines a plurality of staple cavities 3150, and is configured to be able to receive, for example, the edges of the firing member 3115 of the longitudinal slot. 仓体3110还可包括从仓平台3111延伸的突出部3151。 The cartridge body 3110 further includes a projecting portion extending from the cartridge 3151 3111 platform. 在各种情况下,突出部3151可包括图案。 In each case, the protruding portion 3151 may include a pattern. 在至少一种情况下,每个突出部3151可包括穹顶形构型。 In at least one case, each protrusion 3151 may include a dome-shaped configuration. 穹顶形构型可包括例如半球形突起。 Dome-shaped configuration may comprise, for example, a hemispherical protrusion. 在一些情况下,穹顶的顶点可以是平坦表面。 In some cases, the dome apex may be a flat surface. 如图61所示,突出部阵列3151可在纵向狭槽3115与侧面3112之间延伸跨过平台3111。 As shown in FIG. 61, an array of protruding portions 3151 may extend between the longitudinal sides of the slots 3115 and 3112 across the internet 3111. 突出部3151可围绕钉腔3150布置。 Projecting portion 3151 may be disposed around the staple cavities 3150. 钉腔3150可被布置成纵向排且突出部3151可定位在纵向排钉腔3150内的钉腔3150中间。 Staple cavities 3150 may be arranged in longitudinal rows and protruding portions 3151 may be positioned within the longitudinal rows of staple cavities of the staple cavities 3150 3150 intermediate. 突出部3151可定位在相邻纵向排钉腔3150中的钉腔3150中间。 Protruding portions 3151 may be positioned between adjacent longitudinal rows of staple cavities 3150 in intermediate staple cavities 3150. 突出部3151可定位在最内排钉腔3150与纵向通道3115中间。 Protruding portions 3151 may be positioned intermediate the innermost longitudinal row of staple cavities 3150 and 3115 channels. 突出部3151可定位在最外排钉腔3150与侧向边缘3112中间。 Protruding portions 3151 may be positioned in the middle 3112 of the outermost row of staple cavities 3150 and lateral edges. 突出部3151可相对于最远侧钉腔3150在远侧定位。 With respect to the projection 3151 may be the distal-most staple cavities 3150 is positioned distally. 突出部3151可相对于最近侧钉腔3150在近侧定位。 Protruding portions 3151 may be positioned with respect to the 3150 most staple cavity proximally. 突出部3151可相对于纵向狭槽3115的远侧端部在远侧定位。 3151 with respect to the projection distal end of the longitudinal slot 3115 positioned distally. 在其它情况下,突出部3151可相对于纵向狭槽3115 的远侧端部在远侧定位。 In other cases, with respect to the projection 3151 may be the distal end of the longitudinal slot 3115 positioned distally.

[0317] 图63中示出了钉仓3200。 [0317] FIG. 63 shows a staple cartridge 3200. 钉仓3200可包括仓体3210。 The staple cartridge 3200 may include a cartridge body 3210. 仓体3210可包括远侧端部3213、近侧端部以及相对侧面3212。 3210 may include a cartridge body 3213, a proximal end portion and a distal end 3212 opposite sides. 类似于上文所述,每个侧面3212可包括其中未限定有凹口的邻接边缘。 Similar to above, each of the side surface 3212 may include a notch which is not defined joining edge. 仓体3210还可包括平台3211、限定于平台3211中的多个钉腔3250、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽3215。 The cartridge body 3210 further includes a platform 3211, the platform defines a plurality of staple cavities 3211 in 3250, and is configured to be able to receive, for example, the edges of the firing member 3215 of the longitudinal slot. 仓体3210还可包括从仓平台3211延伸的突出部3251。 The cartridge body 3210 further includes a projecting portion extending from the cartridge 3251 3211 platform. 类似于突出部2051,突出部3251可被构造成能够接合定位在砧座与仓3200 中间的组织并控制组织相对于仓3200的移动。 Similarly projecting portion 2051, projection 3251 can be configured to be engageable with the anvil positioned intermediate cartridge 3200 of organizing and controlling movement of the cartridge relative to the tissue 3200. 在各种情况下,突出部3251可被构造成能够限制或阻止组织相对于钉仓的流动。 In each case, the protruding portion 3251 may be configured to be able to limit or prevent tissue relative to the flow of the staple cartridge. 突出部3251可被定位在钉腔3250的近侧端部和/或远侧端部处。 Projecting portion 3251 may be positioned at the proximal end of the staple cavity 3250 and / or the distal end. 在各种情况下,每个突出部3251可包括围绕钉腔3250的端部延伸的箍。 In each case, each protrusion 3251 may include a cuff around an end portion extending staple cavities 3250. 在各种情况下,每个突出部3251可包括围绕钉腔3250的端部延伸的弓形脊部。 In each case, each protrusion 3251 may include an arcuate end portion of a ridge portion extending around the staple cavities 3250. 在各种情况下,每个突出部3251可包括限定于其上的一个或多个突起3254。 In each case, each protrusion 3251 may include defining one or more protrusions 3254 thereon. 突起3254可提供纹理表面,该纹理表面改善突出部3251可施加至定位在砧座与钉仓3200中间的组织的夹持或保持。 Protrusions 3254 may provide a textured surface, the textured surface may be applied to improve the projection 3251 is positioned to the anvil 3200 and the staple cartridge or intermediate holder clamped tissue. 在各种情况下,每个突起3254可包括例如凸块。 In each case, each projection 3254 may comprise, for example, bumps. 在某些情况下,每个突起3254可包括穹顶。 In some cases, each projection 3254 may comprise a dome. 在至少一种情况下,突起3254可由弹性材料组成,诸如橡胶、热塑性弹性体和/或山都平,所述弹性材料模制到可由例如塑料组成的突出部3251上。 In at least one instance, the protrusions 3254 may be formed of an elastic material, such as rubber, thermoplastic elastomer and / or Santoprene, the elastomeric material molded onto the projecting portion 3251 may be, for example, plastic. 在各种情况下,突起3254可由柔韧材料组成并且可不损伤由突起3254压缩的组织。 In each case, the protrusion 3254 may be composed of a pliable material and may not be compressed by the projection 3254 damaged tissue. 仓体3210还可包括突出部3253。 The cartridge body 3210 further includes a projecting portion 3253. 类似于突出部2053,突出部3253可定位在最远侧钉腔3250的远侧端部处。 Similar projection 2053 protruding portion 3253 at the distal end may be positioned at the distal-most staple cavities 3250. 每个突出部3253可包括例如远侧倾斜表面,该远侧倾斜表面被构造成能够促进组织插入在钉仓3200与砧座之间。 Each projecting portion 3253 may comprise, for example, the distal surface is inclined, the inclination of the distal surface is configured to promote tissue interposed between the staple cartridge 3200 and anvil. 在各种情况下,最远侧腔3250可各自包括定位在其远侧端部处的突出部3253以及定位在其近侧端部处的突出部3251。 In each case, the most distal lumen 3250 may each include a positioning protruding portion 3253 at the distal end thereof and a projecting portion 3251 is positioned at the proximal end thereof. 同样类似于上文所述,每个突出部3251和/或突出部3253可被构造成能够支撑可移除地存储在钉腔3250中的钉的至少一部分。 Also similar to the above, and / or the projecting portion of each projecting portion may be configured to 32,513,253 capable of supporting the staples removably stored in the staple cavities 3250 of at least a portion.

[0318] 钉2130如图24所示包括基部2131、从基部2131的第一端部延伸的第一钉腿2132a 和从基部2131的第二端部延伸的第二钉腿2132b。 [0318] FIG 2131 comprises a base, a first leg extending from the first end 2132a of the base 2131 and a second leg extending from the second end 2132b of the base 2131 of staples 2130 in FIG. 24. 基部2131的第一端部与基部2131的第二端部之间的距离可被称为冠距,并且由尺寸E表示。 The distance between the first end and the second end portion of the base portion 2131 of the base 2131 may be referred to from the crown, and is represented by the dimension E. 第一钉腿2132a包括从基部2131延伸的第一部分2133a以及从第一部分2133a延伸的第二部分2134a。 The first leg includes a first portion 2132a 2133a 2134a and a second portion extending from the first portion 2133a extending from the base 2131. 第一部分2133a可以第一角度从基部2131延伸。 The first portion 2133a may extend from the base portion 2131 of the first angle. 该第一角度可由从竖直方向测量的角度F表示。 The first angle may be F represents an angle measured from vertical. 第二部分2134a可以第二角度从第一部分2133a延伸。 The second portion 2134a may extend at an angle from the first portion of the second 2133a. 该第二角度可由同样从竖直方向测量的角度K表示。 The second angle may be the same K represents an angle measured from vertical. 读者将理解,第一部分2133a和第二部分2134a并非在同一直线上;而是,第一部分2133a沿着第一轴线2137a延伸且第二部分2134a沿着不同于第一轴线2137a的第二轴线2138a延伸。 The reader will be appreciated that the first portion 2133a and a second portion 2134a is not in the same line; rather, a first portion extending along a first axis 2133a 2137a 2134a and a second portion extending along a second axis different from the first axis 2137a to 2138a . 接头2135a将第一部分2133a和第二部分2134a互连并且位于从限定于基部2131底部上的支撑表面2139测量的距离D处。 The first joint portion 2135a 2133a 2134a and a second portion interconnected and 2139 located at a distance D measured from the bottom support surface of the base portion 2131 is defined. 第二部分2134a包括位于从基部支撑表面2139测量的距离C处。 2134a includes a second portion of the surface 2139 is supported a distance C measured from the base. 第一部分2133a可包括从基部2131延伸的第一悬臂且第二部分2134a可包括从第一部分2133a延伸的第二悬臂。 2133a may include a first portion extending from the first arm and the second portion 2134a of the base 2131 may include a second cantilevered arm that extends from the first portion 2133a. 距离D可限定第一悬臂距离且距离C与距离D之间的差值可限定第二悬臂距离。 D may define a first distance from the boom and the second boom may be defined in the difference between the distance C and the distance D.

[0319] 第二钉腿2132b包括从基部2131延伸的第一部分2133b和从第一部分2133b延伸的第二部分2134b。 [0319] The second staple leg 2132b comprises a first portion and a second portion 2133b 2134b 2133b extending from the first portion 2131 extending from the base. 第一部分2133b可以第一角度从基部2131延伸。 A first angle of the first portion 2133b may extend from the base portion 2131. 此第一角度可由从竖直方向测量的角度G表示。 This first angle may be G represents an angle measured from vertical. 角度G可相同于或可不同于上述角度F。 The angle G may be the same or may be different than the angle F. 当第二钉腿2132b相对于第一钉腿2132a在远侧定位时,在至少一种情况下,角度G可小于例如角度F。 2132b when the second leg with respect to the first leg 2132a distally positioned, in at least one case, for example, the angle G may be less than the angle F. 另选地,当第一钉腿2132a相对于第二钉腿2132b在远侧定位时,在至少一种情况下,角度F可小于例如角度G。 Alternatively, when the first leg 2132a 2132b with respect to the second leg is positioned distally in at least one case, for example, the angle may be less than the angle F G. 第二部分2134b可以第二角度从第一部分2133b延伸。 The second portion 2134b can extend a second angle from the first portion 2133b. 此第二角度可由也从竖直方向测量的角度Η表示。 This represents the second angle may also Η angle measured from vertical. 角度Η可相同于或可不同于上述角度K。 Η angle may be the same or may be different from the angle K. 当第二钉腿2132b相对于第一钉腿2132a在远侧定位时,在至少一种情况下,角度Η可小于例如角度K。 When the second leg with respect to the first leg 2132b 2132a is positioned distally in at least one case, for example, the angle may be less than the angle K. Η 另选地,当第一钉腿2132a相对于第二钉腿2132b在远侧定位时,在至少一种情况下,角度K可小于例如角度H。 Alternatively, when the first leg 2132a 2132b with respect to the second leg is positioned distally in at least one case, for example, the angle may be less than the angle H. K 读者将理解,第一部分2133b和第二部分2134b并非在同一直线上;而是,第一部分2133b沿着第一轴线2137b延伸且第二部分2134b沿着不同于第一轴线2137b的第二轴线2138b延伸。 The reader will be appreciated that the first portion and a second portion 2134b 2133b are not in the same straight line; rather, the first portion 2133b extending along a first axis and a second portion 2137b 2134b 2138b extending along a second axis different from the first axis 2137b of . 接头2135b 使第一部分2133b与第二部分2134b互连且位于从限定于基部2131的底部上的支撑表面2139测量的距离B处。 Joint portion 2133b and 2135b of the first interconnection and the second portion 2134b is located at a distance B from the bottom of the base 2131 to define a support surface 2139 measurements. 距离B可相同于或可不同于上述距离D。 Distance B may be the same or different than the distance D. 第二部分2134b包括位于从基部支撑表面2139测量的距离A处的腿末端2136b。 The second portion 2134b includes a support leg from the base end surface 2139 at a distance A measured 2136b. 距离A可相同于或可不同于上述距离C。 Distance A may be the same or different than the distance C. 第一部分2133b可包括从基部2131延伸的第一悬臂并且第二部分2134b可包括从第一部分2133b延伸的第二悬臂。 2133b may include a first portion extending from the first arm and the second portion 2134b of the base 2131 may include a second arm extending from the first portion 2133b. 距离B可限定第一悬臂距离并且距离A与距离B之间的差值可限定第二悬臂距离。 It may define a first distance B from the boom and the second boom may define a difference between the distance A and the distance B. 第一钉腿2132a的第一末端2136a与第二钉腿2312的第二末端2136b之间的距离可限定钉腿2132a,2132b之间的宽展距离,并且由距离J表示。 2136a distance between the first end of the first leg and second leg 2132A of the second end 2136b 2312 may define a staple legs 2132a, the distance between the lateral spread 2132b, and the distance represented by J. 距离J可宽于或可不宽于上文所述的冠距E。 J may be wider than the distance crown or may not be wider than the above distance E.

[0320] 图25示出了定位在限定于仓2110中的钉腔2150内且被钉驱动器2040支撑的钉2130。 [0320] FIG. 25 illustrates a staple positioned and supported within the cartridge 2110 to define the staple cavities 2150 20402130 staple driver. 读者将理解,钉2130的腿2132a和2132b已被钉腔2150的端壁向内偏置或弯曲。 The reader will be appreciated that the staple legs 2132a and 2132b 2130 have been biased inwardly curved end walls or staple cavities 2150. 因此, 距离六3、(:、04和1可能已改变且分别由六'、8'、(:'、0'4'和/代表。钉2130可由弹性材料诸如不锈钢和/或钛组成,并且当从钉腔2150顶出钉2130时,这些距离的改变可以反向或至少部分地反向。相似地,角度F、G、H和K可能因将钉2130定位在钉腔2150中而改变且分别由角度F'、G'、H'和K'代表。如上所述,钉2130可由弹性材料组成,并且当从钉腔2150顶出钉2130 时,这些距离的改变可以反向或至少部分地反向。图25示出了处于未击发位置的钉2130和驱动器2040。在该未击发位置,第一钉腿2132a的末端2136a可延伸到仓2110的平台表面2111之上并且可定位在从平台表面2111延伸的突出部2150a内并由该突出部保护,并且相似地,第二钉腿2132b的末端2136b可延伸到平台表面2111之上并且可定位在从平台表面2111延伸的突出部2150b内并由该突出部保护。 Thus, from the six 3, (:, 1 and 04, respectively, and may have changed by the six ', 8', (:. ', 0'4' and / or representatives of the staple 2130 may be formed of an elastic material such as stainless steel and / or of titanium, and when the staple cavities 2150 that the staples 2130, the change in the distance may be reversed or at least partially reversed. Similarly, the angle F, G, H and K may be due to changes in the staple 2130 is positioned in the staple cavities 2150 and respectively by the angle F ', G', H ', and K' representatives. as described above, the staples 2130 may be an elastic material, and from the staple cavities 2150 when the staples 2130, the change in the distance may be reversed or at least partially reverse. FIG. 25 shows the staple in the unfired position 2130 and the driver 2040. in the unfired position, the first end of the staple legs 2132a to 2136a may extend above the deck surface 2111 and the cartridge 2110 may be positioned from the platform the inner surface of the protruding portion 2150a of the protrusion 2111 extending portion is protected by, and similarly, the end of the second leg 2132b 2136b may extend above the deck surface 2111 and may be positioned within the protruding portion 2150B 2111 extending from the platform surface, and protected by the protrusion.

[0321] 钉2230如图26所示。 [0321] As shown in FIG. 26 the staple 2230. 钉2230可包括基部2231、从基部2231延伸的第一腿部2232a、 以及从基部2231延伸的第二腿部2232b。 Staple 2230 can comprise a base 2231, a first leg portion extending from the base 2231 2232a, 2232b and a second leg portion extending from the base 2231. 第一腿部2232a可包括连接至基部2231的第一部分2233a以及从第一部分2233a延伸的第二部分2234a。 2232a may include a first leg connected to the base of the first portion 2233a 2231 2234a and a second portion extending from the first portion 2233a. 第二腿部2232b可包括连接至基部2231 的第一部分2233b以及从第一部分2233b延伸的第二部分2234b。 The second leg portion 2232b connected to the base may comprise a first portion and a second portion 2233b 2231 2234b extending from the first portion 2233b. 基部2231、第一部分2233a 和第一部分2233b可包括大体V形构型。 Base 2231, a first portion of the first portion 2233a and 2233b may include a generally V-shaped configuration. 在各种情况下,第二部分2234a可在接头2235a处从第一部分2233a向内延伸,并且相似地,第二部分2234b可在接头2235b处从第一部分2233b 向内延伸。 In each case, the second portion may extend from the first portion 2234a 2233a 2235a of the joint inwardly, and similarly, the second portion 2234b can extend inwardly from the first joint portion 2233b 2235b. 基部2231、第一腿部2232a和第二腿部2232b可被构造和布置成使得钉2230在图26所示的其未成形(或未击发)构型中是对称的。 Base 2231, a first leg and a second leg portion 2232a 2232b may be configured and arranged so that the unformed staples 2230 shown in FIG 26 (or unfired) configuration is symmetrical. 在各种情况下,第一腿部2232a可相对于第二腿部2232b在远侧定位。 In each case, a first leg portion 2232a relative to the second leg portion 2232b is positioned distally. 另选地,第一腿部2232a可相对于第二腿部2232b在近侧定位。 Alternatively, the first leg portion 2232a relative to the second leg portion 2232b may be positioned proximally.

[0322] 钉2330如图27所示。 [0322] 2330 as shown in Figure 27 staples. 钉2330可包括基部2331、从基部2331延伸的第一腿部2332a、 以及从基部2331延伸的第二腿部2332b。 Staple 2330 can comprise a base 2331, a first leg portion extending from the base 2331 2332a, 2332b and a second leg portion extending from the base 2331. 第一腿部2332a可包括沿着轴线延伸的连接至基部2331的直部2333a。 The first leg portion 2332a connected to the base 2331 may include a straight portion extending along the axis 2333a. 第二腿部2332b可包括连接至基部2331的第一部分2333b和从第一部分2333b延伸的第二部分2334b。 The second leg portion 2332b may include a base portion connected to the first portion and the second portion 2333b 2331 2334b extending from the first portion 2333b. 基部2331、直部2333a和第一部分2333b可包括大体V形构型。 Base 2331, a first straight portion 2333a and a portion 2333b can comprise a generally V-shaped configuration. 在各种情况下,第二部分2334b可在接头2335b处从第一部分2333b向内延伸。 In each case, the second portion may extend from the first portion 2334b 2333b 2335b inwardly at the joint. 基部2331、第一腿部2332a和第二腿部2332b可被构造和布置成使得钉2330在图27所示的其未成形(或未击发)构型中是不对称的。 Base 2331, a first leg and a second leg portion 2332a 2332b may be configured and arranged so that the unformed staples 2330 shown in FIG 27 (or unfired) configuration is asymmetrical. 在各种情况下,第一腿部2332a可相对于第二腿部2332b在远侧定位。 In each case, a first leg portion 2332a relative to the second leg portion 2332b is positioned distally. 另选地,第一腿部2332a可相对于第二腿部2332b在近侧定位。 Alternatively, the first leg portion 2332a relative to the second leg portion 2332b may be positioned proximally.

[0323] 钉2430如图28所示。 [0323] Figure 28 staples 2430. 钉2430可包括基部2431、从基部2431延伸的第一腿部2432a、 以及从基部2431延伸的第二腿部2432b。 Staple 2430 can comprise a base 2431, a first leg portion extending from the base 2431 2432a, 2432b and a second leg portion extending from the base 2431. 第一腿部2432a可包括连接至基部2431的第一部分2433a以及从第一部分2433a延伸的第二部分2434a。 2432a may include a first leg connected to the base of the first portion 2433a 2431 2434a and a second portion extending from the first portion 2433a. 第二腿部2432b可包括连接至基部2431 的第一部分2433b以及从第一部分2433b延伸的第二部分2434b。 The second leg portion 2432b connected to the base may comprise a first portion and a second portion 2433b 2431 2434b extending from the first portion 2433b. 基部2431、第一部分2433a 和第一部分2433b可包括大体V形构型。 Base 2431, a first portion of the first portion 2433a and 2433b may include a generally V-shaped configuration. 在各种情况下,第二部分2434a可在接头2435a处以第一角度从第一部分2433a向内延伸,并且相似地,第二部分2434b可在接头2435b处以第二角度从第一部分2433b向内延伸。 In each case, the second portion 2434a 2435a linker may impose at a first angle from the first portion 2433a extending inwardly, and similarly, the second portion 2434b can be at a second angle joint 2435b 2433b extending inwardly from the first portion. 第一角度和第二角度可不同。 The first and second angles may be different. 基部2431、第一腿部2432a和第二腿部2432b可被构造和布置成使得钉2430在图28所示的其未成形(或未击发)构型中是不对称的。 Base 2431, a first leg and a second leg portion 2432a 2432b may be configured and arranged so that the unformed staples 2430 shown in FIG 28 (or unfired) configuration is asymmetrical. 在各种情况下,第一腿部2432a可相对于第二腿部2432b在远侧定位。 In each case, a first leg portion 2432a relative to the second leg portion 2432b is positioned distally. 另选地,第一腿部2432a可相对于第二腿部2432b在近侧定位。 Alternatively, the first leg portion 2432a relative to the second leg portion 2432b may be positioned proximally.

[0324] 钉2530如图29所示。 [0324] 2530 as shown in Figure 29 staples. 钉2530可包括基部2531、从基部2531延伸的第一腿部2532a、 以及从基部2531延伸的第二腿部2532b。 Staple 2530 can comprise a base 2531, a first leg portion extending from the base 2531 2532a, 2532b and a second leg portion extending from the base 2531. 第一腿部2532a可包括连接至基部2531的第一部分2533a和从第一部分2533a延伸的第二部分2534a。 2532a may include a first leg connected to the first portion 2533a of the base 2531 and a second portion extending from the first portion 2534a 2533a. 第二腿部2532b可包括连接至基部2531的第一部分2533b和从第一部分2533b延伸的第二部分2534b。 The second leg portion 2532b may include a base portion connected to the first portion and the second portion 2533b 2531 2534b extending from the first portion 2533b. 基部2531、第一部分2533a和第一部分2533b可包括大体V形构型。 Base 2531, a first portion of the first portion 2533a and 2533b may include a generally V-shaped configuration. 在各种情况下,第二部分2534a可在接头2535a处以第一角度从第一部分2533a向内延伸,并且相似地,第二部分2534b可在接头2535b处以第二角度从第一部分2533b向内延伸。 In each case, the second portion 2534a 2535a linker may impose at a first angle from the first portion 2533a extending inwardly, and similarly, the second portion 2534b can be at a second angle joint 2535b 2533b extending inwardly from the first portion. 第一角度和第二角度可不同。 The first and second angles may be different. 基部2531、第一腿部2532a和第二腿部2532b可被构造和布置成使得钉2530在图29所示的其未成形(或未击发)构型中是不对称的。 Base 2531, a first leg and a second leg portion 2532a 2532b may be configured and arranged so that the unformed staples 2530 shown in FIG 29 (or unfired) configuration is asymmetrical. 钉2530可在许多方面类似于钉2430,并且在至少一种情况下,例如可包括比基部2431 更宽的基部2531。 Staple 2530 may be similar in many respects staple 2430, and in at least one case, for example, may include a base portion wider than the base 2431 2531. 在某些情况下,当钉腿2532a和/或钉腿2532b在更靠近竖直方向的方向上延伸时,更宽的钉基部可容纳在给定钉腔内。 In some cases, when the staple legs 2532a and / or 2532b staple legs extend in a direction closer to the vertical direction, wider base portion of the staple can be accommodated in a given staple cavity. 在各种情况下,第一腿部2532a可相对于第二腿部2532b在远侧定位。 In each case, a first leg portion 2532a relative to the second leg portion 2532b is positioned distally. 另选地,第一腿部2532a可相对于第二腿部2532b在近侧定位。 Alternatively, the first leg portion 2532a relative to the second leg portion 2532b may be positioned proximally.

[0325] 如上所讨论,捕获在外科端部执行器的砧座与钉仓之间的组织在使用期间可在端部执行器内移动或相对于端部执行器流动。 [0325] As discussed above, the tissue captured between the end of the surgical anvil and the staple cartridge or movable relative to the end effector flow during use within the end effector. 同样如上所讨论,这种移动或流动可大体上是朝远侧的,因为端部执行器的击发构件朝远侧移动以击发可移除地存储在钉仓中的钉并切入组织。 Also as discussed above, such movement can be substantially or flow distally, because the firing member of the end effector move distally to fire staples removably stored in the staple cartridge and cutting tissue. 如果击发构件朝近侧移动,则组织的移动或流动将大体上是朝近侧的。 If the firing member moves proximally, the organization of the movement or flow of substantially proximally. 但是,组织朝远侧流动可在击发过程期间使钉朝远侧移位。 However, tissue staples distally may flow distally displaced during the firing process. 此现象如图30所示。 This phenomenon is shown in Figure 30. 图30示出了从限定于仓体2610中的钉腔2650顶出的钉2630。 Figure 30 shows the cartridge body to define the staple cavities 2610 2650 2630 a staple. 钉2630被示出处于至少部分地击发的位置,其中钉驱动器2640正使钉2630的基部2631朝着砧座20向上移动,并且其中钉2630的腿2632a, 2632b已从钉腔2650显露并已接触砧座20。 Staple 2630 is shown in an at least partially fired position, wherein the staple driver is making the bases of the staples 2640 2630 263 120 is moved upward toward the anvil, wherein the staple 2630 and legs 2632a, 2632b from the staple cavities 2650 and has contacted the reveal the anvil 20. 如读者将理解,钉腔2650可包括第一突出部265 la和第一端壁2652a,所述第一突出部和第一端壁被构造成能够支撑第一钉腿2632a,并且相似地,可包括第二突出部2651b和第二侧壁2652b,所述第二突出部和第二侧壁被构造成能够在钉2630被驱动器2640从钉腔2650顶出时支撑第二钉腿2632b。 As the reader will be appreciated, staple cavities 2650 may include a first protrusion 265 la 2652A and the first end wall, the first projecting portion and the first end wall is configured to be capable of supporting a first staple leg 2632a, and, similarly, be 2651b includes a second projection and a second sidewall 2652b, the second projecting portion and the second side wall is configured to be able to support the second leg 2632b 2630 when the staples from the staple cavities 2640 is 2650 drives. 然而,如图30所示, 钉2630可在击发过程期间朝远侧移位使得钉腿2632a远离第一端壁2652a移位并且钉腿2632b移位越过第二突出部2651b。 However, as shown, during the staple firing procedure 2630 can be displaced distally so that the staple legs 30 from the first end wall 2632a 2652a 2632b displaced and displaced over the second staple legs protruding portion 2651b. 尽管钉2630已朝远侧移位,但第一腿部2632a仍已接收在限定于砧座20中的钉凹坑的第一成形杯22a内并且第二腿部2632b仍已接收在钉凹坑的第二成形杯22b内。 Although staple 2630 is displaced distally, but still has a first leg portion 2632a received in the recesses defined in the staple anvil 20 forming a first cup 22a and the second leg portion 2632b is still received in the staple pocket forming the second cup 22b. 尽管钉腿2632a,2632b可接触其相应的成形杯22a,22b,但钉2630的朝远侧移位可能不会得到对称成形的钉,如例如图31所示。 While the staple legs 2632a, 2632b may contact their respective forming cups 22a, 22b, but the staples 2630 may not get displaced distally symmetrically shaped staples, for example, as shown in Figure 31. 图31示出了被钉驱动器2640提升到高于仓体2610的仓平台表面2611的位置并且变形成其完全击发构型的钉2630。 Figure 31 shows a staple driver 2640 is raised to a position above the cartridge body 2610 of the surface 2611 of the cartridge deck and its fully fired configuration deformed staples 2630.

[0326] 如上所讨论,由于被捕获在端部执行器内的组织移位,因此对称钉可不对称地变形。 [0326] As discussed above, since the captured within the end effector of the tissue displacement, thus symmetrical staples can be deformed asymmetrically. 在各种情况下,钉仓可使用例如可补偿这种移位的非对称钉,诸如图24和图27至图29所示的非对称钉。 In various circumstances, the staple cartridge can be used, for example, to compensate for this shift asymmetrical nails, such as 24 and shown in FIG asymmetric staple 27 to 29. 这些非对称钉的钉腿可以如下方式构造:当非对称钉朝远侧移位时,它们可移位到可使它们变形成对称或至少更对称的击发构型的取向中。 These asymmetric of the staple legs can be constructed as follows: When the staple distally displaced asymmetrically, they can be displaced to their transformation into a symmetrical or at least more symmetrical firing configuration orientation. 图84示出了钉仓4800,该钉仓包括:仓体4810,该仓体包括限定于其中的多个钉腔4850;定位在钉腔4850内的非对称钉;以及被构造成能够从钉腔4850顶出钉的多个驱动器4840。 FIG 84 shows a staple cartridge 4800, the staple cartridge comprising: a cartridge body 4810, the cartridge body including therein defining a plurality of staple cavities 4850; 4850 positioned within the staple cavities of the staple asymmetric; and configured to be deployed from the staple a cavity 4850 of a plurality of staple drivers 4840. 仓体4810可包括远侧端部4813和近侧端部4816,其中钉腔4850可被布置成限定于仓体4810中的纵向排。 The cartridge body 4810 may include a distal end 4813 and proximal end 4816, wherein the staple cavities 4850 can be arranged in longitudinal rows defined in the cartridge body 4810. 仓体4810在图84中被横截成使得示出一个这样的纵向排钉腔4850。 The cartridge body 4810 in FIG. 84 is a cross-section as shown such that the longitudinal rows of staple cavities 4850. 在一些情况下,可移除地存储在纵向排钉腔4850内的钉可以具有相同的非对称构型,而在其它情况下,如图84所示,钉可以具有不同的非对称构型。 In some cases, staples removably stored within the longitudinal rows of staple cavities 4850 may have the same asymmetric configuration, while in other cases, as shown, the staple may have a different asymmetric configuration 84. 例如,钉4830'存储在纵向排的近侧端部中,而钉4830"存储在纵向排的远侧端部中。类似于上文所述,每个钉4830'可包括第一钉腿4832a'和第二钉腿4832b', 其中钉腿中的一者或两者可包括若干片段,例如第二钉腿4832b'的片段4833b'和4834b'。 同样类似于上文所述,每个钉4830"可包括第一钉腿4832a"和第二钉腿4832b",其中钉腿中的一者或两者可包括若干片段,例如第一钉腿4832a"的片段4833a"和4834a"以及第二钉腿4832b'的片段4833b"和4834b"。在对比钉4830 '和钉4830〃后,读者将理解,钉4830〃的片段4833b〃和4834b〃之间的角度比钉4830 '的片段4833b '和4834b '之间的角度更明显或更大。 换句话讲,远侧钉4830"可比近侧钉4830'更不对称。 For example, the staples 4830 'stored in the proximal end in longitudinal rows, and the staples 4830 "is stored in the distal end in longitudinal rows. Similar to the above, each staple 4830' may include a first leg 4832a 'and the second leg 4832b', wherein the staple legs or both may comprise a plurality of segments, for example, the second staple leg 4832b 'fragments 4833b' and 4834b '. Also similar to the above, each staple 4830 "may include a first leg 4832a" and second leg 4832b ", wherein the staple legs or both may comprise a plurality of segments, for example, the first leg 4832a" segment 4833a "and 4834a" and a second 'fragments 4833b "and 4834b". in Comparative staples 4830' and staple after staple legs 4832b 4830〃, the reader will appreciate, the angle between the nail fragments 4833b〃 and 4834b〃 4830〃 than staples 4830 'fragments 4833b' and 4834b 'between the more significant angle or greater. in other words, the distal staple 4830 "than the proximal staple 4830' more asymmetric. 在一些情况下,钉仓4800的远侧端部4813处的组织移动可大于近侧端部4816处的组织移动,并且相应地,钉取向上的移位在钉仓4800的远侧端部4813处可比在近侧端部4816处更大。 In some cases, moving tissue distal end 4813 of staple cartridge 4800 may be greater than the moving tissue of the proximal end portion 4816, and accordingly, the shift at the distal end 4800 of staple cartridge 4813 on the staple orientation at greater than 4816 at the proximal end. 较之于经受较小钉移位的近侧钉4830'的较小的不对称性,远侧钉4830"的较大的不对称性可补偿较大的钉移位。这只是一个示例且可在钉排内利用任何合适种类的钉来补偿不同的钉移位。例如,可设想定位在纵向排的近侧端部处的钉可比定位在纵向排的远侧端部处的钉具有更大的不对称性。还设想纵向排可使用多于两组非对称钉。 Experiences less compared to proximal staple displaceable staple 4830 'of small asymmetry, the distal staple 4830 "asymmetry can be larger to compensate the larger staple shifted. This is just one example and may using any suitable type of staples in the staple rows to compensate for different staple displacement. for example, it is contemplated the staple positioned at the proximal end of the longitudinal rows of staples having a greater than positioning the distal end of the longitudinal rows of asymmetry also contemplated that more than two longitudinal rows may be asymmetric staple.

[0327] 如上所述,在各种情况下,端部执行器远侧端部处的组织移动或流动可大于端部执行器近侧端部处的组织移动或流动。 [0327] As described above, in various circumstances, tissue at the distal end of the end effector movement or flow may be greater than a proximal end of the tissue end effector movement or flow. 此类情况可由于端部执行器内击发构件的朝远侧移动而出现。 Such cases can occur due to distal movement of the firing member within the end effector. 尽管击发构件被构造成能够在其朝远侧移动时渐进地缝合和切入组织,但击发构件也可朝远侧犁动或推动组织。 Although the firing member is configured to be in its stapling and cutting tissue progressively moved distally, the firing member can be movable or pushed distally plow tissue. 这种推动或犁动效应可始于端部执行器的近侧端部处并且可在击发构件朝远侧移动时加重使得在端部执行器的远侧端部处实现最大的推动或犁动效应。 This movement pushes or plows effects may begin at the proximal end and an end effector distally increase in the movable member such that the maximum firing push or plow at the distal end of the movable end effector effect. 因此,除了上文所述,可在纵向钉排内使用钉不对称性上的梯度以补偿组织移动和钉移位上的梯度。 Thus, in addition to the above, the staple may be a gradient in gradient in the asymmetry compensation and staple tissue displacement movement in the longitudinal rows of staples.

[0328] 除了或代替上文所述,钉仓可使用具有不同高度的突出部来控制组织在端部执行器内的移动。 [0328] In addition to or in place of the above, the staple cartridge can be controlled moving tissue within the end effector of the use of projecting portions having different heights. 在各种情况下,本文所公开的从钉仓的平台延伸的突出部可减小端部执行器的钉仓与砧座之间的间隙。 In each case, the projecting portion disclosed herein extend from the staple cartridge of the platform can be reduced end gap between the anvil and the staple cartridge. 因此,相比于没有突出部的实施方案,突出部可向定位在砧座与钉仓中间的组织施加更大的局部压力。 Therefore, as compared to the embodiment without a protruding portion, the protruding portion may be applied to a larger local pressure positioned intermediate the staple cartridge and the anvil tissue. 在各种情况下,具有较高高度的突出部可向组织施加较大的压缩力或压力,而具有较短高度的突出部可向组织施加相对较小的压缩力或压力。 In each case, the protruding portion having a higher elevation can be applied to a large compressive force or pressure to the tissue, and the projecting portion has a shorter height may be applied to a relatively small compressive force or pressure to the tissue. 沿着这些线,相比较短突出部,较高突出部可对组织移动提供较大的控制。 Along these lines, shorter than the protruding portion, the protruding portion may be provided higher greater control of tissue movement. 如读者将记起,端部执行器近侧端部处的组织移动可小于端部执行器远侧端部处的组织移动,并且因此,再次参见图84,钉仓4800可在仓体4810的近侧端部4816处使用较短突出部4851'并且在远侧端部4813处使用较高突出部4851"。在至少一种情况下,较短突出部4851'可从仓体4810的平台表面4811延伸距离4855',并且较高突出部4851"可从较短突出部4851'延伸距离4855"。在某些情况下,从仓体延伸的突出部可包括在仓体的近侧端部与远侧端部之间延伸的高度的梯度。在至少一种情况下,如上文所讨论,梯度的最高突出部可位于仓体的远侧端部处,而梯度的较短突出部可位于仓体的近侧端部处。在其它情况下,梯度的最高突出部可位于仓体的近侧端部处,而梯度的较短突出部可位于仓体的远侧端部处。 As the reader will recall, tissue movement at the proximal end of the end effector may move less than the tissue at the distal end of the end effector, and therefore, referring again to FIG. 84, the staple cartridge 4800 may be a cartridge body 4810 the proximal end of the use of shorter projection 4851 4816 'and 4851 using relatively high protruding portion "4813 at the distal end. in at least one case, the shorter projecting portion 4851' may be the surface of the platform from the cartridge body 4810 4811 extended distance 4855 ', and the higher projecting portions 4851' may be the shorter projecting portion 4851 'extends a distance 4855. "in some cases, the protruding portion extending from the cartridge body at the proximal end may include a cartridge body and the height of the gradient between the distal end portion extending in at least one case, as discussed above, the maximum gradient of the projection portions may be located at the distal end of the cartridge body and the shorter projecting portion may be positioned within the cartridge gradient the proximal end of the body. in other cases, the maximum gradient of the projection portions may be located at the proximal end of the cartridge body, the gradient of the shorter projecting portion may be positioned at the distal end of the cartridge body.

[0329] 如上文所讨论,当正从钉仓部署钉时,组织移动可使钉移位。 [0329] As discussed above, when the staples being deployed from the staple cartridge, the staples can move tissue displacement. 在各种情况下,相比较短突出部,较高突出部可对此类移位提供较大的控制。 In each case, the shorter the protruding portion, the protruding portion may be higher for such a shift as compared to provide greater control. 更具体地,再次参见图84,相比较短近侧突出部4851',较高远侧突出部4851"可使钉凹坑4850延伸得更多,使得相比钉4830' 被近侧突出部4851'控制,钉4830"被远侧突出部4851"控制更长的距离。较之于在其中钉4830'的腿部从腔4850显露前钉4830'向上提升的距离,较高突出部4851"还可增加在其中钉4830"的腿部从腔4850显露前钉4830"向上提升的距离。 More specifically, referring again to FIG. 84, shorter than the protruding proximal portion 4851 ', distal protrusion 4851 high "staple pockets 4850 can extend more, compared to the staple 4830 such that' the protruding proximal portion 4851 ' control, staples 4830 "is a distal portion 4851 protruding" control longer distance compared to staples 4830 in which 'the front legs of the staple from the cavity exposed 48504830' lifted upwardly from the higher projection 4851 "may also wherein an increase in the staple 4830 'before the staple legs 4830 revealed from the cavity 4850 "from lifting upwardly. 此类布置可减少其中钉4830"暴露至例如钉仓4800远侧端部处的较大组织移动的距离和/或时间。 Such an arrangement can reduce wherein the staples 4830 ", for example, a larger exposed to tissue at the distal end 4800 of the staple cartridge moving distance and / or time.

[0330] 如上文所讨论,钉仓可在纵向钉排中使用多于一个钉构型。 [0330] As discussed above, the staple cartridge can be used in more than one of the longitudinal rows of staples staple configuration. 在各种情况下,钉仓可在不同的纵向钉排中使用具有不同构型的钉。 In various circumstances, the staple cartridge may be used with staples of different configurations in the different longitudinal rows of staples. 在至少一种情况下,钉仓可包括在第一纵向钉排中具有第一构型并且在第二纵向钉排中具有第二构型的钉。 In at least one case, a staple cartridge can include a first configuration having a first longitudinal row of staples and the staples having a second configuration of the second longitudinal row of staples. 现在转到图49和图49A,钉仓2700例如可包括限定于其中的多个纵向排的钉腔2750,其中限定于第一排中的钉腔2750 可各自包括可移除地存储于其中的第一钉2730'(图50),限定于第二排中的钉腔2750可各自包括可移除地存储于其中的第二钉2730"(图51),并且限定于第三排中的钉腔2750可各自包括可移除地存储于其中的第三钉2730〃'(图52)。第一钉2730'可定位在最内纵向排钉腔2750中,第二钉2730〃可定位在中间排钉腔2750中,且第三钉2730〃'可定位在最外纵向排钉腔2750中。当具有第一高度A'(图50)的第一钉2730'和具有第二高度A〃(图51)的第二钉2730〃处于其未击发构型时,第二钉2730〃可高于第一钉2730'。相似地,当第二钉2730〃和具有第三高度A〃'(图52)的第三钉2730〃'处于其未击发构型时,第三钉2730〃'可高于第二钉2730〃。 Turning now to FIG. 49 and FIG. 49A, for example, may comprise a staple cartridge 2700 therein defining a plurality of longitudinal rows of staple cavities 2750, wherein the staple cavity defined in a first row 2750 may each comprise a removably stored therein a first staple staple cavities 2730 '(FIG. 50) defined in the second row 2750 may each comprise a removably stored therein a second staple 2730' (FIG. 51), and defining a third row of staples in each cavity 2750 may include third staples removably stored therein 2730〃 '(FIG. 52). the first staples 2730' can be positioned at the innermost longitudinal row of staple cavities 2750, a second staple may be positioned intermediate 2730〃 row of staple cavities 2750, and the third nail 2730〃 'may be positioned at the outermost longitudinal rows of staple cavities 2750. when having a first height a' of the first staple (FIG. 50) 2730 'and having a second height A〃 ( FIG. 51) a second staple is in its unfired 2730〃 configuration, a second staple may be higher than the first staple 2730〃 2730 '. Similarly, when the second and a third staple height A〃 2730〃' (FIG. 52) a third staple 2730〃 'is in its unfired configuration, the third staples 2730〃' may be higher than the second staple 2730〃.

[0331] 在各种情况下,每个纵向排的钉可由纵向排钉驱动器支撑。 [0331] In each case, each of the longitudinal rows of staples by staple drivers supporting longitudinal rows. 例如,第一纵向排钉驱动器可支撑第一排第一钉2730 ',第二纵向排钉驱动器可支撑第二排第二钉2730〃,且第三纵向排钉驱动器可支撑第三排第三钉2730〃'。 For example, a first longitudinal row of staple drivers may support a first row of first staples 2730 ', a second longitudinal row of staple drivers may support a second row of staples 2730〃 second, and third longitudinal rows of staple drivers may support a third row of third nail 2730〃 '. 在某些情况下,参考图49和图49A,一排钉驱动器2742可支撑第一排第一钉2730 '和第二排第二钉2730〃使得每个钉驱动器2742可例如支撑并击发至少一个第一钉2730 '和至少一个第二钉2730〃。 In some cases, referring to FIG. 49 and FIG. 49A, a row of staple drivers 2742 may support a first row of first staples 2730 'and a second row such that each staple 2730〃 second staple drivers 2742 may be, for example, at least a support and a firing first staples 2730 'and at least one second staple 2730〃. 一排钉驱动器2740可支撑第三排第三钉2730〃',使得每个钉驱动器2740可支撑并击发至少一个第三钉2730〃 '。 A row of staple drivers 2740 may support a third row of third staples 2730〃 ', such that each staple drivers 2740 may support and at least one third staple firing 2730〃'. 钉驱动器2742可各自包括被构造成能够支撑第一钉2730 '的第一底座2741'以及被构造成能够支撑第二钉2730"的第二底座2741",并且相似地,钉驱动器2740可各自包括被构造成能够支撑第三钉2730" '的第三底座2741"'。 Staple drivers 2742 may be configured to include each capable of supporting a first staple 2730 'of the first base 2741', and is configured to be capable of supporting a second staple 2730 'of the second base 2741' and, similarly, staple drivers 2740 may each comprise It is configured to be able to support third staples 2730 ' "third base 2741'". 当钉驱动器2740和2742处于其未击发位置时,如图49A所示,第一底座2741'可被支撑在距离限定于砧座20中的第一排成形凹坑23第一距离2732' 处,第二底座2741"可被支撑在距离限定于砧座20中的第二排成形凹坑23第二距离2732" 处,并且第三底座2741"'可被支撑在距离限定于砧座20中的第三排成形凹坑23第三距离2732"'处。 When the staple drivers 2740 and 2742 in their unfired position, as shown in FIG 49A, the first base 2741 'may be supported in a defined distance to the first row of forming pockets 23 of anvil 20 a first distance 2732', the second base 2741 'may be supported in a defined distance to the second row forming pockets 20 of anvil 23 a second distance 2732', the third base and 2741 '' may be supported in a distance defined in the anvil 20 third row 2732 from the third forming pockets 23 ' "at. 第一距离可不同于第二距离和/或第二距离可不同于第三距离。 The first distance may be different from the second distance and / or the second distance may be different from the third distance. 如图49所示,第一距离短于第二距离且第二距离短于第三距离。 As shown in FIG. 49, the first distance is shorter than the second distance and the second distance is shorter than a third distance. 当驱动器2740和2742被击发构件2760朝着砧座20提升例如以从钉腔2750顶出钉2730'、2730"和2730"'时,第一钉2730'、第二钉2730〃 和/或第三钉2730〃'可变形成不同的成形高度。 When the drive member 2740 and 2742 2760 fired toward the anvil 20, for example, to lift the staple from the staple cavities 2750 2730 ', 2730' and 2730 '', a first nail 2730 ', the second staple 2730〃 and / or the three nail 2730〃 'variable form different formed heights. 例如,最内排钉(即,钉2730')可形成为第一成形高度,中间排钉(即,钉2730〃)可形成为第二成形高度,且外排钉(即,钉2730〃')可形成为第三成形高度。 For example, the innermost rows of staples (i.e., staples 2730 ') forming height may be formed as a first, intermediate nail row (i.e., staple 2730〃) may be formed to a second forming height, and an outer row of staples (i.e., staple 2730〃' ) may be formed as a third forming height. 第一高度可短于第二高度,并且第二高度可短于第三高度。 The first height can be shorter than the second height and the second height may be shorter than the third height. 公布于2012年11 月27 日的名称为"SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS"的美国专利8,317,070以引用方式全文并入。 Published November 27, 2012, entitled "SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS" US Patent No. 8,317,070 is incorporated by reference.

[0332] 在各种情况下,钉仓的仓平台可以是平坦的。 [0332] In various circumstances, the staple cartridge may be flat platform cartridge. 在此类情况下,本文所述的突出部可从平坦的平台表面延伸。 In such a case, the protruding portion may extend from the herein planar deck surface. 在其它情况下,钉仓的仓平台可包括阶梯式表面,该阶梯式表面包括例如至少两个阶梯式表面。 In other cases, the staple cartridge may include a cartridge platform stepped surface, for example, the stepped surface comprises at least two stepped surfaces. 再次参见图49和图49A,钉仓2700的仓体2710可包括定位在纵向刀通道2715的第一侧上的第一平台侧以及定位在纵向刀通道2715的第二侧上的第二平台侧。 Referring again to FIG. 49 and FIG. 49A, the staple cartridge body 2700 of the cartridge 2710 may comprise longitudinally positioned on a first side of the knife channel 2715, and a first platform positioned on a second side of the longitudinal side of the knife channel 2715 and a second side of the platform . 每个平台侧包括例如第一阶梯2711'、第二阶梯2711〃和第三阶梯2711〃'。 Each side of the platform comprises a first step, for example, 2711 ', the second step and the third step 2711〃 2711〃'. 第一纵向排钉腔2750可限定于第一阶梯2711'中,第二纵向排钉腔2750可限定于第二阶梯2711〃中,且第三纵向排钉腔2750可限定于第三阶梯2711〃 '中。 A first longitudinal rows of staple cavities 2750 may be defined in a first step 2711 ', the second longitudinal rows of staple cavities 2750 may be defined in a second step 2711〃, and the third longitudinal rows of staple cavities 2750 may be defined in a third step 2711〃 'in. 当砧座20处于其闭合位置时,砧座20的组织接触表面21可邻近仓体2710的平台表面定位。 20 when the anvil is in its closed position, the platform surface 2710 positioned tissue contacting surface of anvil 20 adjacent the cartridge body 21 may be. 在此类情况下,组织接触表面21可定位在与第一阶梯2711'相距第一距离2712'、与第二阶梯2711"相距第二距离2712"、与第三阶梯2711"'相距第三距离2712"'处。 In such cases, tissue-contacting surface 21 may be positioned at a first step 2711 'first distance 2712', and a second step 2711, "a second distance 2712 ', the third step 2711'" third distance 2712 ' "at. 在各种情况下,第一距离、第二距离和/或第三距离可以不同。 In each case, the first distance, the second distance and / or the third distance may be different. 如图49和图49A所示,第一距离2712'短于第二距离2712",并且第二距离2712"短于第三距离2712"'。在各种情况下,第一距离2712'可在第一阶梯2711'与砧座20之间限定第一组织间隙,第二距离2712"可在第二阶梯2711"与砧座20之间限定第二组织间隙,并且第三距离2712"'可在第三阶梯2711"'与砧座20之间限定第三组织间隙。定位在最内排钉腔2750 上的第一组织间隙可小于定位在最外排钉腔2750上的第三组织间隙。定位在中间排钉腔2750上的第二组织间隙可大于第一组织间隙但小于第三组织间隙。 FIG 49 and FIG. 49A, a first distance 2712 'is shorter than the second distance 2712', 2712 and the second distance "is shorter than the third distance 2712 '". In each case, a first distance 2712' may be the first step 2711 'between the anvil 20 and the tissue defining a first gap, the second distance 2712 "may be a second step 2711" defining second tissue gap between anvil 20, and a third distance 2712' 'may be the third step 2711 " 'and the anvil defining a tissue gap between the third 20 is positioned on the innermost row of staple cavities 2750 may be less than the first tissue gap positioned on the outermost row of staple cavities 2750 of the third tissue gap. Location second tissue gap in the middle row of staple cavities 2750 may be less than the third but greater than the first tissue interstitial space.

[0333] 除了上文所述,并且再次参见图49和图49A,第一纵向排突出部2751'可从第一阶梯2711'延伸,第二纵向排突出部2751"可从第二阶梯2711"延伸,并且第三纵向排突出部2751"'可从第三阶梯2711"'延伸。 [0333] In addition to the above, and referring again to FIG. 49 and FIG. 49A, a first longitudinal row of projecting portions 2751 'may be the first step 2711' extends, the second longitudinal row of projecting portions 2751 "2711 from the second step" extend, and third longitudinal row of projecting portions 2751 '' from the third step 2711 ' "extend. 第一突出部2751'可由第一高度2755'限定,第二突出部2751〃可由第二高度2755〃限定,且第三突出部2751〃'可由第三高度2755〃'限定。 A first projecting portion 2751 'may be a first height 2755' is defined, the second projecting portion 2751〃 defined by a second height 2755〃, and the third protruding portion 2751〃 'by a third height 2755〃' defined. 第一高度、 第二高度和/或第三高度可不同。 A first height, the second height and / or third level may be different. 如图49和图49A所示,第一高度2755'可短于第二高度2755",并且第二高度2755"可短于第三高度2755"'。在各种情况下,最短纵向排突出部,即突出部2751',可沿最内排钉腔2750延伸,最高纵向排突出部,即突出部2751"',可沿最外排钉腔2750延伸,并且具有中等高度的突出部,即突出部2751",可沿中间排钉腔2750延伸。图76示出了可供选择的实施方案,其中最高纵向排突出部,即突出部275Γ',沿最内排钉腔2750延伸,最短纵向排突出部,即突出部2751',沿最外排钉腔2750延伸,并且具有中等高度的突出部,即突出部2751",可沿中间排钉腔2750延伸。 49 and 49A, the first height 2755 'may be shorter than the second height 2755 ", 2755 and the second height" may be shorter than the third height 2755 "'. In each case, the shortest longitudinal rows of projecting portions , i.e. protruding portion 2751 ', along the innermost rows of staple cavities 2750 extends the maximum longitudinal rows of projecting portions, i.e. the protruding portion 2751' ", may extend along the outermost row of staple cavities 2750, and having a medium height protruding portion, i.e., projection unit 2751 ", the middle row may extend along the staple cavities 2750. FIG. 76 illustrates an alternative embodiment in which the maximum projection longitudinal rows, i.e., the protruding portion 275Γ ', extending along the inner most rows of staple cavities 2750, the shortest longitudinal rows protruding portion, i.e., the protruding portion 2751 ', the outermost row along the extending staple cavities 2750, and has a moderate degree of projection, i.e., the protruding portion 2751' may extend along the middle row of staple cavities 2750.

[0334] 再次参见图76,钉仓4000可在许多方面类似于上文所讨论的钉仓2700。 [0334] Referring again to FIG. 76, the staple cartridge 4000 may be similar in many respects to the staple cartridge 2700 as discussed above. 类似于钉仓2700,钉仓4000可包括纵向排钉腔2750,所述纵向排钉腔包括第一排钉腔2750、第二排钉腔2750和第三排钉腔2750,第一排钉腔包括可移除地存储于其中的第一钉2730',第二排钉腔包括可移除地存储于其中的第二钉2730",第三排钉腔包括可移除地存储于其中的第三钉2730"'。 2700 is similar to the staple cartridge, the staple cartridge 4000 can comprise longitudinal rows of staple cavities 2750, the longitudinal rows of staple cavities comprising a first row of staple cavities 2750, a second row of staple cavities 2750 and third row of staple cavities 2750, a first row of staple cavities comprising removably stored therein a first staple 2730 ', a second row of staple cavities comprising a removably stored therein a second staple 2730', the third row of staple cavities comprising removably stored therein three staples 2730 ' ". 与钉仓2700相反,第一排钉2730 '包括最外排钉且第三排钉2730〃 '包括最内排钉。 In contrast with the staple cartridge 2700, a first row of staples 2730 'includes an outermost row and the third row of staples staples 2730〃' comprising an innermost row of staples. 钉仓4000可包括驱动器4040和4042,所述驱动器被构造成能够在驱动器4040和4042处于未击发或未提升位置时,将第三钉2730"'支撑成与砧座20相距第三成形距离2732"'、将第二钉2730"支撑成与砧座20相距第二成形距离2732"、将第一钉2730'支撑成与砧座20相距第一成形距离2732'。 The staple cartridge 4000 may include a driver 4040 and 4042, the driver is configured to be able to lift or is in an unfired position, the third staples 2730 '' to support the anvil 20 formed at a third distance 4040 and a driver 4042 from 2732 '', the second staple 2730 'to support the anvil 20 away from the second forming distance 2732', the first staple 2730 'to support the anvil 20 away from the first forming distance 2732'. 驱动器4040和4042可使最内排钉(即,钉2730〃 ')变形为第三成形高度,使中间排钉(即,钉2730〃)变形为第二成形高度,并且使最外排钉(即,钉2730 ')变形为第一成形高度。 4040 and 4042 can drive the innermost rows of staples (i.e., staple 2730〃 ') forming a third modification of the height of the intermediate nail row (i.e., staple 2730〃) forming a second modification of the height, and the outermost rows of staples ( That is, the staples 2730 ') forming a first deformed height. 例如,第三成形高度可高于第二成形高度且第二成形高度可高于第一成形高度。 For example, a third forming height may be higher than a second height and a second shaped forming height may be higher than the first forming height. 类似于钉仓2700,钉仓4000可包括阶梯式平台表面;然而,第三阶梯2711〃 '可沿着最内排钉腔2750延伸且第一阶梯2711'可沿着最外排钉腔2750延伸。 2700 is similar to the staple cartridge, the staple cartridge 4000 can comprise stepped platforms surface; however, the third step 2711〃 'may extend along an innermost row of staple cavities 2750 and the first step 2711' may be the outermost row along the extending staple cavities 2750 . 由第一间隙距离2712'限定的第一组织间隙可相对于由第二间隙距离2712〃限定的第二组织间隙朝侧向外侧定位, 第二间隙距离2712〃可相对于由第三间隙距离2712〃'限定的第三组织间隙朝侧向外侧定位。 A first gap distance 2712 'first tissue gap defined relative to the second tissue gap defined by a second gap distance 2712〃 positioned toward the outer side, a second gap distance relative to the distance from the 2712〃 third gap 2712 〃 'toward the third tissue gap is defined laterally outboard positioning.

[0335] 图70至图72中示出了钉仓3600。 [0335] FIG 70 to FIG 72 shows a staple cartridge 3600. 钉仓3600可包括仓体3610。 The staple cartridge 3600 can comprise a cartridge body 3610. 仓体3610可包括远侧端部3613、近侧端部3616以及相对侧面3612。 The cartridge body 3610 may include a distal end 3613, proximal end 3616 and opposite sides 3612. 仓体3610还可包括平台3611、限定于平台3611 中的多个钉腔3650、以及被构造成能够接收例如击发构件的刀刃的纵向狭槽3615。 The cartridge body 3610 further includes a platform 3611, the platform defines a plurality of staple cavities 3611, 3650, and is configured to be able to receive, for example, the edges of the firing member 3615 of the longitudinal slot. 仓体3610还可包括从仓平台3611延伸的突出部2051和2053。 The cartridge body 3610 further includes a projecting portion extending from the cartridge deck 2053 and 36,112,051. 仓体3610还可包括从仓平台3611延伸的突出部3651。 The cartridge body 3610 further includes a projecting portion extending from the cartridge 3651 3611 platform. 类似于突出部2051,突出部3651可被构造成能够接合定位在砧座与仓3600中间的组织并控制组织相对于仓3600的移动。 Similarly projecting portion 2051, projection 3651 can be configured to be engageable with the anvil positioned intermediate cartridge 3600 of organizing and controlling movement of the cartridge relative to the tissue 3600. 在各种情况下,突出部3651能够限制或防止组织相对于钉仓的流动。 In each case, the protruding portion 3651 can limit or prevent the flow of tissue relative to the staple cartridge. 突出部3651可定位在钉腔3650的近侧端部和/或远侧端部处。 Protruding portions 3651 may be positioned at the proximal end of the staple cavity 3650 and / or the distal end. 在各种情况下,每个突出部3651可包括围绕钉腔3650的端部延伸的箍。 In each case, each protrusion 3651 may include a cuff around an end portion extending staple cavities 3650. 在各种情况下,每个突出部3651可包括围绕钉腔3650的端部延伸的弓形脊部。 In each case, each protrusion 3651 may include an arcuate end portion of a ridge portion extending around the staple cavities 3650. 在各种情况下,突出部3651可能不与突出部2051和/或突出部2053-样高。 In each case, the projecting portion 3651 may not projecting portion 2051 and / or the high-like projection 2053-. 与较短突出部3651相比,较高突出部2051可向组织施加更大的局部压力。 Compared with the shorter projecting portion 3651, portion 2051 may protrude higher local pressure to be applied more tissue. 在各种情况下,突出部2051可对组织提供足够的控制以在击发过程期间将组装保持就位。 In each case, the protruding portions 2051 may provide adequate control of the tissue to remain in place during assembly of the firing process. 在这种情况下,除了保护和引导定位在钉腔3650中的钉以外,突出部3651还可对组织提供一些另外的控制。 In this case, in addition to protect and guide the staple positioned in the staple cavities 3650 other than the protruding portion 3651 may also provide some additional control over the tissue.

[0336] 除了上文所述,平台3611可包括阶梯2711',2711"和2711"',所述阶梯被构造成能够压缩定位在仓体3610与砧座中间的组织。 [0336] In addition to the above, platform 3611 may include step 2711 ', 2711' and 2711 '', the compression step is configured to be positioned intermediate the anvil 3610 cartridge body tissue. 在各种情况下,第三阶梯2711〃'可包括沿着最外排钉腔3650且围绕仓体2610的远侧端部3613延伸的最低平台表面。 In each case, the third step 2711〃 'may comprise the lowest deck surface 2610 of the distal end portion of the cartridge body 3613 extending along an outermost row of staple cavities 3650 and around. 第二阶梯2711〃可从最低平台表面2711〃'向上延伸且第一阶梯2711'可从第二阶梯2711〃向上延伸。 The second step may be from the lowest deck surface 2711〃 2711〃 'extends upwardly and a first step 2711' may extend upwardly from the second step 2711〃. 当仓体3610 相对于组织滑动时,组织可流动越过仓体3610的远侧端部3613并流到阶梯2711',2711"和2711"'上方。 When the cartridge body 3610 slides relative to the tissue, tissue can flow past the distal end 3613 of the cartridge body flows to step 3610 and 2711 ', 2711' and 2711 '' above. 仓体3610还可包括斜坡3614'和3614",所述斜坡分别被构造成能够有助于组织分别滑动到阶梯2711'和2711"上。 The cartridge body further includes a ramp 3610 3614 'and 3614 ", respectively, the ramp is configured to be able to slide, respectively facilitate tissue step 2711' and 2711" on. 同样如上所讨论,可使用阶梯2711',2711"和2711"'来控制组织相对于钉仓3600的流动。 Also as discussed above, it may be a stepped 2711 ', 2711' and 2711 '' to control the flow of tissue relative to the staple cartridge 3600. 主要参见图71,在各种情况下,较之于限定于阶梯2711" 与砧座之间的组织间隙和/或限定于阶梯2711"'与砧座之间的组织间隙,阶梯2711'可在仓3600与跟仓3600相对地定位的砧座之间限定较小的组织间隙。 Referring primarily to FIG. 71, in each case, compared to limited to "tissue gap between the anvil and / or step 2711 to define a" step 2711 'tissue gap between the anvil, step 2711' may be small tissue gap defined between the cartridge 3600 and the cartridge 3600 with the anvil positioned opposite. 在阶梯2711'和最小组织间隙与纵向狭槽3615相邻的情况下,与相对于阶梯271Γ侧向定位的组织相比,与纵向狭槽3615相邻的组织可经受更多的压缩和更多的控制。 In step 2711 'and the case where the smallest tissue gap 3615 adjacent to the longitudinal slot, compared to the relative lateral positioning of STEPS 271Γ with tissue adjacent longitudinal slot 3615 may be subjected to more and more compression control. 此类实施方案可因多种原因为有利的。 Such embodiments may be advantageous for a variety of reasons. 例如,穿过纵向狭槽3615的切割构件可尝试使捕获在钉仓3600与砧座之间的组织发生位移,并且由于最内阶梯2711'施加的压缩,组织的位移可被防止、减轻或减少。 For example, the longitudinal slot through the cutting member 3615 may attempt to captured between the staple cartridge 3600 and the anvil tissue displacement occurs due to compression and the innermost step 2711 'is applied, the displacement of the tissue can be prevented, alleviated or reduced .

[0337] 如上文结合图76所示实施方案所讨论,钉仓可包括其中最小组织间隙与最外纵向排钉腔同延的阶梯式平台表面。 [0337] As described above in conjunction with the embodiment shown in FIG. 76 discussed staple cartridge can include a tissue wherein the minimum gap outermost longitudinal rows of staple cavities coextensive with stepped surface of the platform. 在这种情况下,最小组织间隙可与仓的侧面相邻,且由于最外阶梯所施加的压缩,可防止、减轻或减少组织的位移,尤其是组织的侧向位移。 In this case, the smallest tissue gap may be adjacent to the side surface of the cartridge, and the outermost step of the compression applied to prevent, reduce or decrease the displacement of tissue, especially tissue lateral displacement. 在某些情况下,再次参见图70至图72,捕获在钉仓3600与砧座之间的组织的侧向位移可被侧向侧壁3617防止、减轻或减少。 In some cases, referring again to FIGS. 70 to 72, captured between the staple cartridge 3600 and anvil lateral displacement of tissue lateral sidewall 3617 can be prevented, alleviated or reduced. 每个侧向侧壁3617可从仓体3610的侧面3612延伸并阻挡组织的侧向移动。 Each side wall 3617 may extend laterally from the side surface 3612 of the cartridge body 3610 and the blocking lateral movement of the tissue. 侧壁3617可包括任何合适的构型。 Sidewall 3617 may comprise any suitable configuration. 在至少一种情况下,每个侧壁3617可包括例如圆齿状顶部表面。 In at least one case, each side wall 3617 may include a top surface, such as a scalloped. 现在转到图73,钉仓3700可包括仓体3710,所述仓体包括从仓体3710的侧面3712延伸的侧向侧壁3717。 Turning now to FIG. 73, the staple cartridge 3700 can comprise a cartridge body 3710, the cartridge body includes a sidewall 3717 extending laterally from a side of the cartridge body 3712 3710. 在至少一种情况下,每个侧向侧壁3717可包括例如直顶部表面。 In at least one case, each lateral side wall 3717 may comprise, for example, a straight top surface.

[0338] 现在转到图74,钉仓3800可包括仓体3810,所述仓体包括远侧端部3813和钉腔3850。 [0338] Turning now to FIG. 74, the staple cartridge 3800 can comprise a cartridge body 3810, the cartridge body includes a distal end 3813 and staple cavities 3850. 类似于上述,仓体3810可包括位于最远侧钉腔3850的远侧端部处的突出部2053。 Similar to the above, the protruding portion may 20533810 distal end of the cartridge body includes a distal-most staple cavities 3850. 同样类似于上文所述,仓体3810可包括可围绕至少一些所述钉腔3850的近侧端部和/或远侧端部的突出部2051。 Also similar to the above, the cartridge body 3810 may include a protruding portion 2051 of the proximal end 3850 and / or the distal end may be about at least some of staple cavities. 除了或代替突出部2051和2053,钉仓体3810还可包括从其延伸的突出部3851。 In addition to or instead of the protruding portions 2051 and 2053, the staple cartridge body 3810 further projection 3851 extending therefrom comprising. 每个突出部3851可围绕多于一个钉腔3850的端部延伸。 Each protrusion 3851 may extend around the end of 3850 more than one staple cavity. 在至少一种情况下,每个突出部3851可例如围绕最内排钉腔3850中的钉腔3850的端部、最外排钉腔3850中的钉腔3850的端部和/或中间排钉腔中的钉腔3850的端部延伸。 In at least one case, each protrusion 3851 may be, for example, around the end of the innermost row of staple cavities 3850 in the staple cavities 3850, 3850 of the outermost row of staple cavities of a staple cavity end portion 3850 and / or the intermediate rows of staples end portion 3850 of the staple cavities extending chamber. 在至少一种这样的情况下,突出部3851的第一部分可使第一钉腔3850延伸到仓平台表面之上,突出部3851的第二部分可使第二钉腔3850延伸到仓平台表面之上,并且突出部3851的第三部分可使第三钉腔3850延伸到仓平台表面之上。 In at least one such case, the protrusion portion 3851 of the first portion of the first staple cavities 3850 can extend above the cartridge deck surface, the second portion of the projecting portion 3851 can extend to the second staple cartridge deck surface 3850 of chamber , the projecting portion 3851 and third portion of the cartridge can extend above the deck surface of the third staple cavities 3850. 突出部3851的第一部分可保护、引导和/或保持第一钉,第二部分可保护、引导和/或保持第二钉,并且第三部分可保护、引导和/或保持第三钉。 The first projection portion 3851 may protect, guide, and / or holding the first staple, the second portion can protect, guide, and / or the second staple holder, and a third portion may protect, guide, and / or third staple holder. 在各种情况下,突出部3851可在限定于仓体3810中的纵向狭槽3615与从仓体3810延伸的侧向侧壁3717之间延伸。 3717 extends between in each case, the protruding portions 3851 may be defined in the cartridge body 3810 in a longitudinal slot 3615 in the lateral sidewalls extending from the cartridge body 3810. 在至少一种这样的情况下,突出部3851可延伸跨过第一阶梯2711'、第二阶梯2711〃和/或第三阶梯2711〃'。 In at least one such case, the projecting portion 3851 may extend across the first step 2711 ', step 2711〃 second and / or third step 2711〃'. 换句话讲,突出部3851可延伸跨过仓体3810的平台中的高度变化。 In other words, the protrusion 3851 may extend across the height of the platform changes in the cartridge body 3810. 在一些情况下,尽管仓平台表面存在高度变化,突出部3851的顶部或组织接合表面可以是平坦的。 In some cases, despite the presence of the cartridge deck surface height variation, the top or tissue engagement surface of the projecting portion 3851 may be flat. 在其它情况下,突出部3851的顶部或组织接合表面也可以在高度上改变。 In other cases, the top of the projection or tissue engagement surface 3851 may also vary in height. 在至少一种这样的情况下,突出部3851的顶部表面可例如当平台表面在高度上升高时在高度上升高并且当平台表面在高度上降低时在高度上降低。 In at least one such case, a top surface of the projecting portion 3851 may be, for example, when the height of the platform surface when the high rise and the high rise in the height of the decrease in the height of the surface when the platform is lowered in height. 在其它情况下,突出部3851的顶部表面可例如当平台表面在高度上升高时在高度上降低并且当平台表面在高度上降低时在高度上升高。 In other cases, a top surface of the projecting portion 3851 may be, for example, when the platform is lowered and the surface when the platform is lowered in height in the surface height of the high rise in height at the height of the high rise.

[0339] 在各种情况下,再次参见图74,仓体3810可包括从其延伸的横向突出部或肋3817。 [0339] In each case, referring again to FIG. 74, the cartridge body 3810 may include a lateral projection or rib 3817 extending therefrom. 横向突出部3817可横向于纵向狭槽3615和/或侧向侧壁3717延伸。 Laterally projecting portions 3817 to 3615 may be transversely and / or lateral sidewall 3717 extending longitudinal slot. 在至少一种情况下,横向突出部3817可沿垂直于纵向狭槽3615和/或侧向侧壁3717的方向延伸。 In at least one case, the lateral projection portion 3817 may be a direction perpendicular to the longitudinal direction of the slot 3615 and / or lateral side wall 3717 extends. 在至少一种情况下, 横向突出部3817可在突出部3851与侧壁3717之间延伸。 In at least one case, the lateral projection portion 3817 may extend between the side walls 3717 and 3851 projecting portion. 横向突出部3817还可在突出部2051 与侧壁3717之间延伸,且相似地,在突出部2053与侧壁3717之间延伸。 Laterally projecting portion 3817 projecting between the further side wall portions 3717 and 2051 extending, and similarly, the protruding portion extends between the side walls 3717 and 2053. 在一些情况下,突出部3817和侧壁3717可以是相同高度。 In some cases, the protruding portion 3817 and side walls 3717 may be the same height. 在其它情况下,突出部3817和侧壁3717可以是不同高度。 In other cases, the protruding portions 3817 and 3717 may be different sidewall heights. 参见图74,侧壁3717例如高于突出部3817。 Referring to Figure 74, the side wall 3717 above the projection 3817, for example. 在任何情况下,横向突出部3817能够限制或防止例如组织相对于钉仓3800,尤其沿远侧或纵向方向的流动。 In any case, the lateral projection portion 3817 can be, for example, limit or prevent tissue relative to the staple cartridge 3800, in particular in a distal or longitudinal direction of the flow.

[0340] 现在转到图81,钉仓4500可包括仓体4510,该仓体包括平台4511、近侧端部、远侧端部4513、以及在近侧端部与远侧端部4513之间延伸的纵向刀狭槽3615。 [0340] Turning now to FIG. 81, the staple cartridge 4500 can comprise a cartridge body 4510, the platform 4511 includes a cartridge body, between the proximal end, a distal end portion 4513 and a proximal end and a distal end portion 4513 in longitudinally extending knife slot 3615. 仓体4510可包括, 除其它特征结构之外,倾斜过渡2014、至少部分地围绕钉腔3650的突出部2051,2053和3651、以及侧向侧壁3617。 The cartridge body 4510 may include, among other features, a sloped transition 2014, at least partially surrounds the projecting portion 3650 of staple cavities 2051,2053 and 3651, 3617 and the lateral sidewall. 事实上,设想到各种实施方案,其中本文所公开的各种实施方案的组织控制特征结构可与本文所公开的其它实施方案的组织控制特征结构相结合。 Indeed, various embodiments contemplated embodiment, wherein the tissue of the various embodiments disclosed herein may be controlled with features of the other embodiments disclosed herein, the combination of organizational control feature. 此外, 本文公开了其中限定于钉仓中的钉腔的全部可包括至少部分地环绕钉腔的突出部的各种实施方案。 Further, disclosed herein which defines a staple cartridge in the staple cavities of all embodiments may include various portions projecting at least partially around the staple cavities. 可设想到其它实施方案,其中不是全部钉腔都包括至少部分地环绕钉腔的突出部。 Other embodiments may be contemplated in which not all of the staple chamber includes a projecting portion at least partially surrounding the staple cavities. 现在转到图82,钉仓4600可包括仓体4610,所述仓体包括平台4611、近侧端部4616、远侧端部4613、以及在近侧端部4616与远侧端部4613之间延伸的纵向刀狭槽4615。 Turning now to FIG. 82, the staple cartridge 4600 can comprise a cartridge body 4610, the cartridge body 4611 includes a platform, a proximal end 4616, a distal end portion 4613 and a proximal end 4616 and the distal end between 4613 longitudinal knife slot 4615 extends. 仓体4610可包括从平台4611延伸并且至少部分地环绕钉腔4650中的一些的突出部2051和2053。 Projecting portion 4610 may include a cartridge body 4611 extending from the platform and at least partially surrounds some of the staple cavity 4650 and 2051 2053. 例如, 限定于钉仓4600的远侧端部4613中的钉腔4650的近侧端部和/或远侧端部可至少部分地被突出部2051环绕,且相似地,限定于钉仓4600的近侧端部4616中的钉腔4650的近侧端部和/ 或远侧端部可至少部分被突出部2051环绕。 For example, the distal end portion of staple cartridge 4600 defines a proximal end portion 4613 of the staple cavity 4650 and / or the distal end may be at least partially surrounded by the protruding portion 2051, and similarly, staple cartridge 4600 defines proximal end and / or distal end of the proximal end portion 4616 of the staple cavity 4650 can be at least partially surrounded by the protruding portion 2051. 在此类实施方案中,限定于仓体4610中部中(即钉仓的近侧端部4616与远侧端部4613之间)的钉腔4650可例如不被突出部2051和/或任何其它突出部环绕。 In such embodiments, defined (i.e., proximal end 4616 of the staple cartridge between the distal end portion 4613) of the staple cavities 4650, for example, may not be and / or any other projection in the middle of the cartridge body 4610 and projecting portion 2051 surrounding portion. 现在转到图83,钉仓4700可包括仓体4710,所述仓体包括平台4711、近侧端部和远侧端部4713。 Turning now to FIG. 83, the staple cartridge 4700 can comprise a cartridge body 4710, the cartridge body 4711 includes a platform, a proximal end and a distal end portion 4713. 仓体4710还可包括限定于其中的多个钉腔4750。 4710 may further include a cartridge body defining therein a plurality of staple cavities 4750. 最远侧钉腔4750可包括被突出部2053环绕的远侧端部和被突出部2051环绕的近侧端部。 Distal-most staple cavities 4750 may comprise a distal end portion of the projecting portion 2053 surrounded by the projection portion and the proximal end portion 2051 surrounded. 其它钉腔4750可包括被突出部2051环绕的远侧端部以及不被突出部环绕的近侧端部。 Other staple cavities 4750 may comprise a distal end portion surrounded by the projecting portion 2051 and the proximal end of the projecting portion is not surrounded. 某些钉腔4750可包括被突出部2051环绕的近侧端部和未被突出部环绕的远侧端部。 Some staple cavities 4750 may comprise a distal end portion surrounded by the proximal end portion 2051 and the projecting portion is not surrounded by the projection.

[0341] 如上文所讨论,从平台表面延伸的突出部可被构造成能够保护、支撑和/或引导定位在钉凹坑内的钉。 [0341] As discussed above, the protruding portion extending from the deck surface may be configured to be able to protect, support and / or guide positioned within staple pockets staple. 图77示出了包括仓体4110的钉仓4100,所述仓体包括平台4111、限定于平台4111中的钉腔4150、以及从平台4111延伸的突出部4151。 FIG 77 shows a staple cartridge comprising a cartridge body 4110 of 4100, the cartridge body includes a platform 4111, the platform 4111 is defined in the staple cavities 4150, and a projecting portion extending from the platform 41,114,151. 钉仓4100还可包括可移除地定位在钉腔4150中的钉4130。 4100 may further include a staple cartridge removably positioned in the staple cavities of the staple 4150 4130. 突出部4151可包括限定于其中的狭槽4154,所述狭槽可被构造成能够在钉4130存储在钉腔4150中时以及/或者在钉4130正从钉腔4150顶出时支撑钉4130的腿部4132。 4151 may include a projecting portion defining a slot 4154 therein, the slot may be configured to be in the staple cavities 4150 and / or 4130 to support a staple as the staple from the staple cavities 4130 n 4150 stored in the staple 4130 leg 4132. 狭槽4154可包括钉腔端壁4152的延伸部。 Slots 4154 may comprise staple cavities 4152 of end wall portions. 当钉4130处于未击发位置时,钉腔端壁4152和/或狭槽4154可配合以支撑钉腿4132。 When the staples 4130 in the unfired position, the staple chamber end wall 4152 and / or slot 4154 can cooperate to support a staple legs 4132. 当从腔4150顶出钉4130时,腿部4132可从突出部4151显露,如图77所示。 When the staple 4130 from the chamber 4150, leg portion 4132 may protrude from the exposed portion 4151, shown in Figure 77. 在这种情况下,端壁4152和/或狭槽4154可支撑尚未顶出钉腔4150的钉4130的部分。 In this case, the portion 4152 and / or slot 4154 may support the staple cavities has not been ejected staple 4150 end wall 4130. 在某些情况下,突出部4151可不提供对钉腿4132的侧向支撑。 In some cases, the protruding portions 4151 may provide lateral support to the staple leg 4132. 更具体地,参见图77,狭槽4154可包括相对的侧面4155,所述相对的侧面可与钉腿4132的侧面间隔开,且不接触钉腿4132的侧面。 More specifically, referring to FIG 77, slot 4154 can comprise opposing side 4155, opposing side of the side surface may be spaced apart from the staple legs 4132, 4132 does not contact the side surface of the staple legs. 在各种情况下,当钉4130仍至少部分地定位在钉腔4150 中时,钉4130可变形成其完全变形构型。 In various circumstances, the staples 4130 are still at least partially positioned within staple cavities 4150, 4130 variable staple forming its fully deformed configuration. 在至少一种这样的情况下,端壁4152和/或狭槽4154可在钉4130的整个成形过程中支撑钉4130。 In at least one such case, the end wall 4152 and / or staple slots 4154 may be supported throughout the forming process of the staples 4130 4130. 在其它情况下,钉4130可在其被提升出狭槽4154并且提升到突出部4151之上后达到其完全变形构型。 In other cases, in which the staples 4130 may be lifted out of the slot 4154 and raised to above the projection 4151 after reaching its fully deformed configuration. 在这种情况下,端壁4152和狭槽4154可在其整个成形过程中不支撑钉4130。 In this case, the end wall 4152 and slot 4154 in 4130 can not support a staple throughout the forming process.

[0342] 图78示出了包括仓体4210的钉仓4200,所述仓体包括平台4211、限定于平台4211 中的钉腔4250、以及从平台4211延伸的突出部4251。 [0342] FIG. 78 shows a staple cartridge comprising a cartridge body 4210 of 4200, the cartridge body includes a platform 4211, the platform 4211 is defined in the staple cavities 4250, and a projecting portion extending from the platform 42,114,251. 钉仓4200还可包括可移除地定位在钉腔4250中的钉4130。 4200 may further include a staple cartridge removably positioned in the staple cavities of the staple 4250 4130. 突出部4251可包括限定于其中的狭槽4254,所述狭槽可被构造成能够在钉4130存储在钉腔4250中时以及/或者在钉4130正从钉腔4250顶出时支撑钉4130的腿部4132。 4251 may include a projection defining a slot 4254 therein, the slot may be configured to be in the staple cavities 4250 and / or 4130 to support a staple as the staple from the staple cavities 4130 n 4250 stored in the staple 4130 leg 4132. 狭槽4254可包括钉腔端壁4252的延伸部。 Slots 4254 may comprise staple cavities 4252 of the end wall portions. 当钉4130处于未击发位置时,钉腔端壁4252 和/或狭槽4254可配合以支撑钉腿4132。 When the staples 4130 in the unfired position, the staple chamber end wall 4252 and / or slot 4254 can cooperate to support a staple legs 4132. 当从腔4250顶出钉4130时,腿部4132可从突出部4251显露,如图78所示。 When the staple cavities 4130 from 4250, 4132 to expose the leg portions projecting from 4251, 78 as shown in FIG. 在这种情况下,端壁4252和/或狭槽4254可支撑尚未顶出钉腔4250 的钉4130的部分。 In this case, the portion 4252 and / or slot 4254 may support the staple cavities has not been ejected staple 4250 end wall 4130. 在某些情况下,突出部4251可提供对钉腿4132的侧向支撑。 In some cases, the protruding portions 4251 may provide lateral support to the staple leg 4132. 更具体地,参见图78,狭槽4254可包括相对的侧面4255,所述相对的侧面可接触钉腿4132的侧面。 More specifically, referring to FIG 78, slot 4254 can comprise opposing side 4255, opposing side of the side surface 4132 may contact the staple legs. 在各种情况下,当钉4130仍至少部分地定位在钉腔4250中时,钉4130可变形成其完全变形构型。 In various circumstances, the staples 4130 are still at least partially positioned within staple cavities 4250, 4130 variable staple forming its fully deformed configuration. 在至少一种这样的情况下,端壁4252和/或狭槽4254可在钉4130的整个成形过程中支撑钉4130。 In at least one such case, the end wall 4252 and / or staple slots 4254 may be supported throughout the forming process of the staples 4130 4130. 在其它情况下,钉4130可在其被提升出狭槽4254并且提升到突出部4251之上后达到其完全变形构型。 In other cases, in which the staples 4130 may be lifted out of the slot 4254 and raised to above the projection 4251 after reaching its fully deformed configuration. 在这种情况下,端壁4252和狭槽4254可在其整个成形过程中不支撑钉4130〇 In this case, the end wall 4252 and slot 4254 can not support a staple 4130〇 its entire forming process

[0343] 图79示出了包括仓体4310的钉仓4300,所述仓体包括平台4311、限定于平台4311 中的钉腔4350、以及从平台4311延伸的突出部4351。 [0343] FIG. 79 shows a staple cartridge comprising a cartridge body 4310 of 4300, the cartridge body includes a platform 4311, the platform 4311 is defined in the staple cavities 4350, and a projecting portion extending from the platform 43,114,351. 钉仓4300还可包括可移除地定位在钉腔4350中的钉4130。 4300 may further include a staple cartridge removably positioned in the staple cavities of the staple 4350 4130. 每个突出部4351可包括限定于其中的渐缩狭槽4354,所述渐缩狭槽可被构造成能够在钉4130存储在钉腔4350中时以及/或者在钉4130正从钉腔4350顶出时支撑钉4130的腿部4132。 Each projecting portion 4351 may include therein defining a tapered slot 4354, the tapered slot may be configured to be stored in 4130 in the staple when the staple cavity 4350 and / or the staples from the staple cavities 4130 4350 n supporting the staple legs during the 4130 to 4132. 每个狭槽4354可包括钉腔端壁4352的延伸部并且可包括端壁4355。 Each slot 4354 can comprise staple cavities extending end wall portions 4352 and 4355 may comprise an end wall. 当钉4130处于未击发位置时,每个狭槽4354的端壁4355可配合以支撑钉腿4132。 When the staples 4130 in the unfired position, each slot 4354 of the end wall 4355 can cooperate to support a staple legs 4132. 如读者从图79中将理解,钉腿4132可不被端壁4352支撑。 As the reader will be from 79 to FIG appreciated that the staple legs 4132 end wall 4352 may not be supported. 当从腔4350顶出钉4130时,腿部4132可从突出部4351显露。 When the staple 4130 from the chamber 4350, 4132 may be exposed from the leg 4351 protruding portion. 在这种情况下,狭槽4354的端壁4355可支撑尚未顶出钉腔4350的钉4130的部分。 In this case, the end walls 4354 of the slot 4355 may support portion has not been ejected staple cavities of the staple 4350 4130. 在某些情况下,突出部4351的侧壁4155可对钉腿4132提供侧向支撑。 In some cases, the side wall 4351 of the projection 4155 may provide lateral support for the staple legs 4132. 在各种情况下,当钉4130仍至少部分地定位在钉腔4350中时,钉4130可变形成其完全变形构型。 In various circumstances, the staples 4130 are still at least partially positioned within staple cavities 4350, 4130 variable staple forming its fully deformed configuration. 在至少一种这样的情况下,狭槽4354可在钉4130的整个成形过程中支撑钉4130。 In at least one such case, the slot 4354 may be staple throughout the forming process of supporting the staples 4130 4130. 在其它情况下,钉4130 可在其被提升出狭槽4354并且提升到突出部4351之上后达到其完全变形构型。 In other cases, in which the staples 4130 may be lifted out of the slot 4354 and raised to above the projection 4351 after reaching its fully deformed configuration. 在这种情况下,狭槽4354可在其整个成形过程中不支撑钉4130。 In this case, the slots 4354 may not support a staple 4130 throughout its forming process.

[0344] 图80示出了包括仓体4410的钉仓4400,所述仓体包括平台4411、限定于平台4411 中的钉腔4450、以及从平台4411延伸的突出部4451a和4451b。 [0344] FIG. 80 shows a staple cartridge comprising a cartridge body 4410 of 4400, the cartridge body includes a platform 4411, 4450, and a projection 4411 extending from the platform defined in the platform 4411 in the staple cavities 4451a and 4451b. 钉仓4400还可包括例如可移除地定位在钉腔4450中的钉4130。 4400 may also include a staple cartridge, such as staple 4130 may be removably positioned in the cavity 4450 of the staple. 钉腔4450可包括被构造成能够支撑和引导钉4130的第一腿部的第一端壁4452a、以及被构造成能够支撑和引导钉4130的第二腿部的第二端壁4452b。 Staple cavities 4450 may be configured to include a first leg portion is capable of supporting and guiding the staples of the first end wall 4130 4452a, and a second leg portion can be configured to support and guide the staple 4130 and a second end wall 4452b. 突出部4451a可从平台4411延伸第一距离4455a,并且突出部4451b可从平台4411延伸到突出部4451a之上的第二距离4455b。 Projecting a second distance from the platform portion 4451a 4411 may extend a first distance 4455a, 4451b and the protruding portion may extend from the platform to the protrusion portion 4411 of the top 4451a 4455b. 因此,在各种情况下,突出部4451a可支撑和引导第一钉腿第一距离且突出部4451b可支撑和引导第二钉腿第二距离,其中第二距离可长于第一距离。 Thus, in each case, the protruding portions 4451a may support and guide the staple legs and a first distance from the first protruding portion 4451b may support and guide the second leg a second distance, wherein the second distance may be longer than the first distance. 在某些情况下,突出部4451b可定位于钉腔4450的远侧端部处且突出部4451a可定位于钉腔4450的近侧端部处。 In some cases, the protruding portion 4451b may be positioned at the distal end of the staple cavity 4450 and may be positioned in the protruding portion 4451a of the proximal end 4450 of the staple cavities. 当通过击发构件和组织刀的朝远侧移动而朝远侧推动钉4130时(如上文所讨论),此类实施方案可以是有利的。 When pushed distally toward the staples 4130 (as discussed above) by the firing member distally and movement of the tissue cutter, such embodiments may be advantageous. 另选地,突出部4451b可定位在钉腔4450的近侧端部处且突出部4451a可定位在钉腔4450的远侧端部处。 Alternatively, the protruding portion 4451b may be positioned at the proximal end of the staple cavity 4450 and the projection 4451a may be positioned at the distal end of the staple cavities 4450. 在任何情况下,突出部4451b可包括例如阶梯式构型。 In any case, the protruding portion 4451b may include a stepped configuration. 在至少一种情况下,突出部4451b可包括例如由高度4455a限定的第一部分和由高度4455b限定的第二部分。 In at least one case, the protruding portion 4451b may include, for example, defined by a first portion and a second portion 4455b height defined by the height 4455a.

[0345] 图85A至图85C示出了包括仓体4910的钉仓4900,所述仓体包括平台4911。 [0345] FIGS 85A to FIG 85C shows the staple cartridge 4910 of the cartridge body 4900, the cartridge body includes a platform 4911 comprises. 在各种实施方案中,仓体4910可由柔性材料构成。 In various embodiments, the cartridge body 4910 may be composed of a flexible material. 在某些实施方案中,仓体4910可由刚性材料和柔性材料构成,其中至少平台4911可由柔性材料构成。 In certain embodiments, the cartridge body 4910 may be formed of a rigid material and flexible material, wherein at least the platform 4911 may be a flexible material. 柔性材料可包括某些塑性材料,诸如聚丙烯,和/或弹性材料,诸如橡胶、热塑性弹性体和/或山都平。 The flexible material may include certain plastic material, such as polypropylene, and / or elastic material such as rubber, thermoplastic elastomer and / or Santoprene. 在各种情况下,平台4911可由柔韧材料构成。 In each case, the platform 4911 may be a flexible material. 在任何情况下,平台4911可包括从其延伸的突出部4951。 In any case, platform 4911 may include a projection 4951 extending therefrom. 类似于上述,突出部4951可保护、支撑和/或引导钉4130。 Similar to the above, the protruding portions 4951 to protect, support and / or guide the staples 4130. 同样类似于上文所述,突出部4951可防止或至少限制组织相对于钉仓4900的移动。 Also similar to the above, the protruding portion 4951 can prevent, or at least limit, relative movement of tissue staple cartridge 4900. 当砧座移动到与钉仓4900相对的闭合位置中,或者另选地, 钉仓4900移动到相对于砧座的闭合位置中时,突出部4951可被定位在砧座与钉仓4900中间的组织压缩。 When the anvil moves relative to the staple cartridge 4900 in a closed position, or alternatively, the staple cartridge 4900 moves to the closed position relative to the anvil, the protrusion 4951 may be positioned on the anvil and the staple cartridge 4900 of the intermediate tissue compression. 图85A至图85C示出了一系列事件,其中突出部4951受到增加的压缩力。 FIGS 85A to FIG 85C shows a series of events, wherein the projecting portion 4951 being increased compression force. 图85A 示出了处于未压缩构型的突出部4951。 FIG 85A shows a projecting portion 4951 in an uncompressed configuration. 在此构型中,可在突出部4951与钉4130的钉腿之间存在压缩或干涉配合。 In this configuration, there may be a compression or interference fit between the staple legs protruding portions 4951 and 4130 of the staples. 图85B示出了响应于向其施加压缩力而处于压缩构型的突出部4951。 FIG 85B shows the response to a compressive force applied thereto in a compressed configuration projecting portion 4951. 通过比较图85A和图85B,能够理解,突出部4951的顶部表面4956已朝着平台4911a向下推动了距离4955并且突出部4951的形状已变形。 By comparing FIGS. 85A and 85B, it can be understood, the top surface of the projecting portion 4951 4911a 4956 has been pushed down toward the internet from the shape of the protruding portion 4951 and 4955 has been deformed. 在该构型中,突出部4951可抓持钉4130的钉腿并且/或者将钉腿保持就位。 In this configuration, protrusion 4951 grippable staple legs 4130 of the staples and / or the staple legs in place. 图85C示出了施加到突出部4951的更大压缩力。 FIG 85C shows a greater compressive force to the projecting portion 4951. 通过比较图85B 和图85C,能够理解,突出部4951的顶部表面4956已朝着平台4911进一步向下推动并且突出部4951的形状已进一步变形。 By comparing FIGS. 85B and 85C, can be understood, the top surface of the protruding portion 4951 of the 4956 has been pushed down further toward the platform 4911 and the shape of the projecting portion 4951 is further deformed. 此外,在此构型中,突出部4951可增加施加到钉腿的夹持力。 Further, in this configuration, the projecting portion 4951 can increase the clamping force applied to the staple legs.

[0346] 图86A和图86B示出了包括仓体5010的钉仓5000,所述仓体包括平台5011。 [0346] FIGS. 86A and 86B illustrate a staple cartridge comprising a cartridge body 5010 5000, the cartridge body 5011 includes a platform. 仓体5010还可包括限定于其中的多个钉腔5050以及从平台5011延伸的多个突出部5051,所述突出部被构造成能够保护、支撑和/或引导可移除地定位在钉腔5050中的钉5030。 A plurality of staple cavities 5010 may further include a cartridge body defining therein a plurality of protruding portions 5050 and 5051 extending from the platform 5011, the projecting portion is configured to be able to protect, support and / or guide may be removably positioned in the staple cavities nail 5030 in 5050. 类似于上文所述,钉仓5000还可包括钉驱动器5040和5042,所述钉驱动器被构造成能够在未击发位置与击发位置之间支撑和提升钉5030。 Similar to the above, staple cartridge 5000 may further include a staple driver 5040 and 5042, the staple driver is configured to be able to support and lift the staple 5030 between an unfired position and a fired position. 图86A和图86B示出了处于部分击发位置的钉5030,其中钉5030的末端已从突出部5051部分地显露。 FIGS 86A and 86B illustrate the staple 5030 in a partially fired position, wherein the end portion 5051 of staples 5030 from the protruding portion exposed. 类似于上述,仓体5010可由柔性材料构成。 Similar to the above, the cartridge body 5010 may be composed of a flexible material. 柔性材料可包括某些塑性材料,诸如聚丙烯,和/或弹性材料,诸如橡胶、热塑性弹性体和/或山都平。 The flexible material may include certain plastic material, such as polypropylene, and / or elastic material such as rubber, thermoplastic elastomer and / or Santoprene. 在各种情况下,仓体5010可由柔韧材料构成。 In each case, the cartridge body 5010 may be composed of a pliable material. 当向仓体5010施加压缩力时,仓体5010可弯曲,如图86B所示。 When the compressive force is applied to the cartridge body 5010, the cartridge body 5010 may be curved, as shown in FIG 86B. 当仓体5010的平台5011如图86B所示向下弯曲时,突出部5051可向下偏转距离5055。 When the platform 5011 of the cartridge body 5010 shown in FIG downwardly bent portion projecting from deflectable 5051 5055 86B downward. 这样,突出部5051就能够是可移动的。 Thus, the protruding portion 5051 can be movable.

[0347] 设想到各种实施方案,其中从钉仓平台延伸的突出部可相对于平台移动。 [0347] contemplated that the various embodiments, wherein the protruding portion extending from the staple cartridge deck can move relative to the platform. 在至少一种情况下,突出部可在第一位置与第二或降低位置之间移动,在该第一位置,突出部使钉腔延伸到平台之上,在该第二或降低位置,突出部可使钉腔延伸到平台之上也可不使钉腔延伸到平台之上。 In at least one case, the protruding portion may be in a first position and a second lowered or moved between a position in which the first position, the protruding portion extends above the platform so that the staple chamber in the second or lowered position, the projection portion can staple cavities may not extend above the platform so that the platform extends above the staple cavities. 在各种情况下,从平台延伸的一个或多个突出部可为可塌缩的。 In each case, one or more protrusions extending from the platform may be collapsible. 可塌缩突出部可在第一位置与第二或塌缩位置之间移动,在该第一位置,突出部使钉腔延伸到平台之上,在该第二或塌缩位置,突出部可使钉腔延伸到平台之上也可不使钉腔延伸到平台之上。 A collapsible projection movable between a first position and a second or collapsed position in which the first position, the protruding portion extends above the staples cavities platform or the second collapsed position, the protruding portion so that the staple cavities may not extend above the platform so that the platform extends above the staple cavities. 在至少一种情况下,可塌缩的突出部可弹性地恢复到其未塌缩构型,而在某些情况下, 突出部可不完全恢复到其未塌缩构型。 In at least one case, the protruding portion may be resiliently collapsible not return to its collapsed configuration, and in some cases, the projecting portion may not be fully restored to its non-collapsed configuration. 在各种情况下,从平台延伸的一个或多个突出部可为可压溃的。 In each case, one or more protrusions extending from the platform may be crushed. 可压溃突出部可在第一位置与第二或压溃位置之间移动,在该第一位置,突出部使钉腔延伸到平台之上,在该第二或压溃位置,突出部可使钉腔延伸到平台之上也可不使钉腔延伸到平台之上。 Crushable projecting portion movable between a first position and a second or collapsed position in which the first position, the protruding portion extends above the staples cavities platform or crush the second position, the projecting portion so that the staple cavities may not extend above the platform so that the platform extends above the staple cavities. 可压溃突出部可能不会恢复到其未压溃构型。 Crushable projecting portion may not be restored to its non-crushed configuration.

[0348] 如上文所讨论,当钉可移除地存储在钉仓中时,钉仓的钉可被钉驱动器支撑。 [0348] As discussed above, when the staples removably stored in the staple cartridge, the staple cartridge may be supported staple staple drivers. 同样如上文所讨论,钉驱动器可被击发构件诸如击发构件2760向上提升。 Also as discussed above, the staple driver can be fired such as a member of the firing member 2760 is lifted up. 在各种情况下,现在转到图53和图54,击发构件可被构造成能够朝远侧推进钉滑动件诸如钉滑动件2870以朝着砧座提升钉驱动器和钉。 In each case, 53 and 54 to now, the firing member can be configured to be slidable member 2870 to advance the staple toward the anvil lift staple driver and staple as the staple slide distally. 钉滑动件2870可包括主体2871和肩部2876,所述肩部能够由击发构件2760接合并支撑击发构件2760。 Staple slide member 2870 may include a body 2871 and a shoulder 2876, 2760 can be connected to the shoulder of the firing by the firing member 2760 and supporting member. 滑动件2870还可包括例如斜坡式或倾斜表面2872,2873, 2874和/或2875,所述表面被构造成能够在钉驱动器下方滑动并且当滑动件2870在钉驱动器下方滑动时向上提升钉驱动器。 The slide member 2870 may further comprise, for example, ramped or inclined surfaces 2872,2873, 2874 and / or 2875, the surface is configured to be slidable and when the slide member 2870 slides underneath the staple drivers drive the staple is lifted up underneath the staple drivers. 在各种情况下,除了上文所述,例如第一斜坡表面2872可被构造成能够接触并提升第一排钉驱动器中的钉驱动器,第二斜坡表面2873可被构造成能够接触并提升第二排钉驱动器中的钉驱动器,第三斜坡表面2874可被构造成能够接触并提升第三排钉驱动器中的钉驱动器,并且第四斜坡表面2875可被构造成能够接触并提升第四排钉驱动器中的钉驱动器。 In various circumstances, further to the above, for example, the first ramp surface 2872 may be configured to be capable of contacting and lifting a first row of staples in the staple driver drives a second ramp surface 2873 may be configured to be capable of contacting and lifting of two rows of the staple drivers in a staple driver, a third ramp surface 2874 may be configured to be capable of contacting and lifting a third row of staple drivers in a staple driver, and a fourth ramp surface 2875 may be configured to be capable of contacting and lifting fourth rows of staples staple drivers drive.

[0349] 在各种情况下,除上述以外,滑动件2870能够同时提升四排钉驱动器中的钉驱动器。 [0349] In each case, in addition to the above, the slide member 2870 is capable of simultaneously lifting four rows of staple drive staple drive. 在一些情况下,滑动件2870可同步提升这四排钉驱动器中的钉驱动器。 In some cases, the slide member 2870 may be synchronized lifting the four rows of the staple drivers in a staple driver. 在此类情况下, 所述四个斜坡表面2872,2873,2874和2875的远侧端部可被构造成能够同时接触四个钉驱动器并沿四个平行提升表面提升它们,使得钉驱动器同时到达相同高度。 In such cases, the distal end of the ramp surface four 2872,2873,2874 and 2875 may be configured to be capable of simultaneously contacting four staple drivers along four parallel lift lifting surfaces thereof, such that the staple drivers simultaneously arrive the same height. 另外,在此类情况下,斜坡表面2872,2873,2874和2875可全部具有相同长度。 Further, in such cases, the ramp surface 2872,2873,2874 and 2875 may all have the same length. 在其它情况下,尽管是以交错的方式,但滑动件2870可同时提升四排钉驱动器中每排中的钉驱动器。 In other cases, albeit in a staggered fashion, but at the same time lifting the slide member 2870 may be four rows of staple drivers drive the staples in each row. 主要参见图54,第一斜坡2872的远侧端部2872a可与第四斜坡2875的远侧端部2875a对齐。 Referring primarily to FIG. 54, the distal end of the first ramp 2872 may be aligned with the distal end 2875a of the fourth ramp of 2875 2872a. 在各种情况下,第一斜坡2872可平行于第四斜坡2875。 In each case, a first ramp 2872 may be parallel to the fourth ramp 2875. 此外,第一斜坡2872可限定第一斜坡长度,该第一斜坡长度与第四斜坡2875限定的第四斜坡长度相同。 Further, the first ramp ramp 2872 may define a first length, the first length of the ramp and the fourth ramp 2875 defines a fourth ramp same length. 第二斜坡2873的远侧端部2873a可相对于第一斜坡2872的远侧端部2872a和第四斜坡2875的远侧端部2875a以由距离2879a表示的距离在远侧定位。 The distal end portion 2873a of the second ramp 2873 relative to the first distal end 2872 of the ramp and a distal end portion 2872a of the fourth ramp of 2875 2875a 2879a distance indicated by the distance distally positioned. 第二斜坡2873可不平行于第一斜坡2872和/或第四斜坡2875。 The second ramp 2873 may not be parallel to the first slope 2872 and / or 2875 of the fourth ramp. 此外,第二斜坡2873可限定长于第一斜坡长度和/或第四斜坡长度的第二斜坡长度。 Further, the second ramp 2873 may define a length longer than the first ramp and / or the second ramp length of the fourth ramp length. 第三斜坡2874的远侧端部2874a可相对于第二斜坡2873的远侧端部2873a以由距离2878a表示的距离在远侧定位。 The distal end portion 2874a of the third ramp 2874 relative to the distal end of the second ramp 2873a 2873 2878a distance indicated by the distance distally positioned. 第三斜坡2874可不平行于第一斜坡2872、第二斜坡2873和/或第四斜坡2875。 Third ramp 2874 may not be parallel to the first slope 2872, 2873 of the second ramp and / or the fourth ramp 2875. 此外,第三斜坡2874可限定长于第一斜坡长度、第二斜坡长度和/或第四斜坡长度的第三斜坡长度。 In addition, the third ramp 2874 may define a length longer than the first ramp, second ramp length and / or length of the fourth ramp third ramp length.

[0350] 当滑动件接触钉驱动器时,除了上文所述,还可在滑动件与钉驱动器之间产生反作用力和/或扭矩,从而可使滑动件和/或钉驱动器响应于反作用力和/或扭矩旋转。 [0350] When the slide contact member staple driver, in addition to the above, may also generate a reaction force and / or torque between the slider and the staple driver, thereby allowing the slide member and / or staple driver and a reaction force in response to / rotation or torque. 图53和图54所示出的斜坡布置可在滑动件2870接触并提升钉驱动器时防止或至少限制滑动件2870的旋转。 Ramp shown in FIG. 53 and FIG. 54 may be arranged to prevent or at least limit the rotary slide member 2870 slides in contact and lift the staple drivers 2870. 此外,滑动件2870可包括稳定构件2877,所述稳定构件朝远侧延伸以稳定滑动件2870并防止和/或抑制滑动件2870的摇动或旋转。 In addition, the slide member 2870 may include stabilizing member 2877, the stabilizing member extends distally slide member 2870 to stabilize and to prevent and / or inhibit rocking or rotary slide member 2870. 稳定构件2877可分别相对于斜坡2872, 2873,2874和2875的远侧端部2872a,2873a,2874a和2875a朝远侧延伸。 Member 2877 may be stable with respect to the ramp 2872, distal end 2875 of 2873,2874 and 2872a, 2873a, 2874a and 2875a extending distally.

[0351] 现在转到图54A至图54D,滑动件2870可被构造成能够例如当滑动件2870从钉仓2000的近侧端部2016朝着钉仓2000的远侧端部2013移动时从钉仓2000部署钉。 [0351] Turning now to FIGS. 54A to 54D, the slide member 2870 may be configured to be, for example, when the slider is moved 2013 2870 proximal end 2000 of the staple cartridge 2016 towards the distal end of the staple from the staple cartridge 2000 from warehouse deploy the staples 2000. 钉仓2000 和/或滑动件2870可包括可使滑动件2870可释放地保持在钉仓2000的近侧端部2016中的特征结构。 The staple cartridge 2000 and / or 2870 may include a sliding member can slide member 2870 is releasably held in the feature proximal end 2000 of staple cartridge 2016 in. 在各种情况下,钉仓2000的仓体2010可包括卡位2019,所述卡位被构造成能够在滑动件的近侧、未击发位置接合滑动件2870并可释放地保持滑动件2870,如图54A所示。 In various circumstances, the staple cartridge body 2000 of the cartridge 2010 may include a detent 2019, the detent is configured to be slidable member proximal, unfired position engaging the slide member 2870 and releasably holding the slide member 2870, As shown in FIG. 54A. 在至少一种情况下,主要参见图54B和图54C,每个卡位2019可包括向内延伸到纵向狭槽2015中的肋或脊部。 In at least one instance, referring primarily to FIGS. 54B and 54C, each detent extending inwardly 2019 may include ribs or ridges 2015 into the longitudinal slot. 脊部可在例如纵向狭槽2015内在竖直方向延伸。 Inner ridges may extend, for example, a vertical direction in a longitudinal slot 2015. 除上述以外,滑动件2870的主体2871可定位在纵向狭槽2015内且可在滑动件2870处于其近侧、未击发位置时与卡位2019 接合,如图54A所示。 Addition to the above, the slider body may be 28,712,870 positioned within the longitudinal slot may be 2870 and 2015 at its proximal slide member 2019 engaged with the detent unfired position, as shown in FIG. 54A. 在各种情况下,卡位2019可在其间限定比主体2871的宽度小的间隙。 In each case, the latching 2019 smaller gap width than the main body 2871 may define therebetween. 在此类情况下,在卡位2019与滑动件2870的主体2871之间可存在过盈配合,使得卡位2019可将滑动件2870抓持并保持就位。 In such cases, there may be a card in the main body 2019 of the slide member 2870 in an interference fit between 2871, 2019 such that the latching member 2870 may be slidably grip and held in place. 当击发构件朝远侧推动滑动件2870时,主体2871可被推动至脱离与卡位2019的接合,并且滑动件2870可朝远侧推进以击发存储在钉仓2000中的钉。 When the firing member distally pushed the slide member 2870, 2871 may be pushed to the body out of engagement with the detent 2019, 2870 and the slider can be advanced to fire the staple storage magazine 2000 in the distally. 在各种情况下,现在参见图54D,滑动件2870的主体2871可包括限定于其中的沟槽2018,所述沟槽可被构造成能够可释放地接收卡位2019。 In each case, referring now to FIG. 54D, the slider body may comprise 28712870 defined therein a groove 2018, the groove may be configured to releasably receive the detent 2019. 沟槽2018和卡位2019,当对齐时,可限定滑动件2870的近侧、未击发位置。 Latching grooves 2018 and 2019, when aligned, may define a proximal slide member 2870, unfired position. 尽管在所示实施方案中存在两组沟槽2018和卡位2019,但也可利用单组来使滑动件2870可释放地保持就位。 Although there are two sets of latching grooves 2018 and 2019 in the illustrated embodiment, but may also be utilized to make a single set of the slide member 2870 is releasably held in place. 在其它情况下,可使用多于两组沟槽2018 和卡位2019。 In other cases, more than two sets may be used latching grooves 2018 and 2019. 在一些情况下,卡位2019可从滑动件2870的主体2871延伸且沟槽2018可限定于仓体2010中。 In some cases, a card 2019 may extend from the body 2871 of the slider 2870 and the trench 2018 may be defined in the cartridge body 2010.

[0352] 如上文所讨论,仓体可包括组织支撑平台以及从平台延伸的突出部,所述突出部可被构造成能够:一,控制组织相对于仓体的流动;二,使限定于仓体中的钉腔延伸到平台之上;以及/或者,三,支撑、保护和/或引导钉腔中的钉。 [0352] As discussed above, the cartridge body may include a tissue support platform and the platform extending from the protruding portion, the protruding portion may be configured to be: a control cartridge body tissue relative to the flow; 2, limited to the cartridge so that staple body cavity extends above the platform; and / or, three, supporting, protecting and / or guiding a staple in the staple cavities. 在各种情况下,仓体和突出部可由单片材料构成。 In each case, the cartridge body and the protruding portion may be composed of single piece of material. 在至少一种情况下,突出部可与仓体一体形成。 In at least one case, the protruding portion may be formed integrally with the cartridge body. 仓体和突出部可由塑性材料组成并且可在例如注塑过程期间形成。 The cartridge body and the protruding portion may be formed of plastic material, for example, and may be formed during the injection molding process. 在某些情况下,突出部可装配到仓体。 In some cases, the protrusion may be fitted into the cartridge body. 在至少一种情况下,突出部可附着至例如仓体。 In at least one case, for example, projecting portions may be attached to the cartridge body. 仓体和突出部可由相同的材料或不同的材料构成。 The cartridge body and the protruding portion may be formed of the same material or different materials. 在至少一种情况下,仓体可由塑性材料组成并且突出部可由弹性材料诸如橡胶、热塑性弹性体和/ 或山都平形成。 In at least one case, the cartridge body may be made of plastic material and the protrusion may be formed of an elastic material such as rubber, thermoplastic elastomer and / or Santoprene formed. 在各种情况下,突出部可由柔韧材料构成且可不损伤被突出部压缩的组织。 In each case, the protruding portion may be composed of a pliable material and may not damage the protruding portion of the compressed tissue. 突出部3051 (图60)和/或突出部3151 (图61)例如可由弹性材料诸如橡胶、热塑性弹性体和/ 或山都平形成。 Projecting portions 3051 (FIG. 60) and / or the projecting portions 3151 (FIG. 61) may be formed, for example, an elastic material such as rubber, thermoplastic elastomer and / or Santoprene formed. 在至少一种情况下,仓体可在塑料注塑过程期间形成,并且突出部可使用比组成仓体的材料更柔韧的材料在第二模塑过程期间形成在仓体上。 In at least one case, the cartridge body may be formed during the process of plastic injection molding, and the protruding portions can be used more flexible than the material of the cartridge body material formed during the second molding process on the cartridge body. 在各种情况下,突出部3051和/或3151例如可包括纹理平台表面。 In each case, the protruding portion and / or 3151, for example, may include a textured surface platform 3051. 在某些情况下,突出部3051和/或3151例如可由具有比仓体高的摩擦系数的材料构成。 In some cases, the protruding portions 3051 and / or 3151 may be for example, a material having a high coefficient of friction than that of the cartridge body. 此类实施方案可改善仓体与组织之间的抓持力。 Such embodiments may improve the gripping force of the tissue between the cartridge body.

[0353] 在各种情况下,从仓体延伸的突出部可以是静止的,并且它们不可相对于仓体移动。 [0353] In each case, the projecting portion extending in the cartridge body may be stationary, and they can not move relative to the cartridge body. 在某些情况下,如上文所讨论,突出部可为柔性的且可相对于仓体变形。 In some cases, as discussed above, the protruding portion may be flexible and may be modified with respect to the cartridge body. 在一些情况下, 同样如上文所讨论,仓体可以是柔性的,这可允许突出部在仓体挠曲时移动。 In some cases, the same as discussed above, the cartridge body may be flexible, which may allow the protruding portion to move in the cartridge body to flex. 钉仓可包括可相对于仓体延伸的突出部。 A staple cartridge can include a protruding portion with respect to the cartridge body extends. 现在转到图75,钉仓3900可包括具有限定于其中的多个腔3950 的仓体3910。 Turning now to FIG. 75, the staple cartridge 3900 may comprise a plurality of cavities defined therein to 39,103,950 of the cartridge body. 在各种情况下,腔3950可包括定位在其中的可部署组织接合构件3940。 In each case, the cavity 3950 positioned therein may include tissue engaging member 3940 may be deployed. 每个构件3940可从未部署位置移动到部署位置。 Each member 3940 may never deployed position to the deployed position. 当构件3940处于其未部署位置时,构件3940可不延伸到平台3911之上,并且当构件3940处于其部署位置时,构件3940可延伸到平台3911之上。 When member 3940 is in its undeployed position, member 3940 may extend above the platform 3911, and 3940 when the member is in its deployed position, member 3940 may extend above the platform 3911. 另选地,构件3940在处于其未部署位置时可延伸到平台3911之上。 Alternatively, the member 3940 may extend above the platform 3911 when in its undeployed position. 在至少一个这样的实施方案中,组织接合构件3940可接合处于其未部署位置和其部署位置的组织。 In at least one such embodiment, the tissue engaging member 3940 can engage the tissue in its undeployed position and a deployed position. 在任何情况下,构件3940可包括从其延伸的突出部3951,所述突出部可被构造成能够接合、稳定和/或压缩定位在砧座20与仓3900中间的组织。 In any case, the member 3940 may include a protrusion 3951 extending therefrom, the protrusion may be configured to be engageable, stabilizing and / or compression and the cartridge 20 is positioned intermediate the anvil 3900 tissue.

[0354] 再次参见图75,构件3940可通过从其近侧端部到其远侧端部纵向横贯仓体3910的滑动件3970部署。 [0354] Referring again to FIG. 75, member 3940 may be deployed by 3970 from its proximal end to its distal end longitudinal traverse the cartridge body 3910 of the slider member. 滑动件3970可包括斜坡3972,所述斜坡被构造成能够在构件的未部署位置与其部署位置之间依次接合构件3940并提升构件3940。 The slide member 3970 may include a ramp 3972, the ramp being configured to be sequentially engaging member 3940 between an undeployed position and a deployed position to its member 3940 lifting member. 在至少一种情况下,每个构件3940可包括可被斜坡3972接触的斜表面或成角表面3942。 In at least one case, each member may comprise a beveled surface 3940 may be in contact with or angled ramp surfaces 3972 3942. 坡面3972可在构件3940下方滑动并将构件3940提升到表面3979上。 Slope 3972 at the bottom member and the slidable member 39403940 3979 raised to the surface. 当滑动件3970被击发构件诸如击发构件2760朝远侧推进时,表面3979可将构件3940保持在其部署位置。 When the slider member 3970, such as fired distally advance the firing member 2760, 3979 may be the surface member 3940 remains in its deployed position. 如图75所示,表面3979可足够长以在其上支撑几个构件3940。 As shown, the surface 397 975 may be long enough to support several thereon member 3940. 此外,表面3979可足够长以在由击发构件2760执行的钉成形和组织切割过程中支撑构件3940。 In addition, surface 3979 may be sufficiently long to the staple firing member 2760 performed by the forming and cutting tissue during the support member 3940. 在至少一种情况下,表面3979可领先,或者相对于击发构件2760的刀口2761在远侧定位。 In at least one case, the surface can lead 3979 or 2760 with respect to the edge of the firing member 2761 is positioned distally. 在此类情况下,当刀刃2761朝远侧移动穿过组织时,构件3940可保持相对于刀刃2761朝远侧定位的组织。 In such cases, when the blade 2761 to move distally through the tissue member 3940 may be maintained with respect to the tissue distally located blade 2761. 换句话讲,组织接合构件3940可被部署成在组织部分被缝合和/或切入之前抓持该组织的一部分。 In other words, the tissue engaging member 3940 may be deployed as part of the tissue grasping portion before stapling tissue and / or cut. 腔3950可被构造成能够支撑并引导构件3940并且抑制构件3940在腔3950内侧向地平移或旋转。 Cavity 3950 can be configured to support and guide member 3940 can be suppressed and the member 3940 radially translate or rotate inside the cavity 3950. 表面3979的近侧端部可被构造和布置成使得一旦刀刃2761已穿过构件3940,滑动件3970便可释放构件3940。 Surface of the proximal end 3979 may be constructed and arranged such that once the blade has passed through the member 2761 3940, 3970 can slide the release member 3940. 在至少一种这样的情况下,一旦刀刃2761已被构件3940滑动,表面3979便可不再支撑构件3940。 In at least one such case, once the blade has been 3940 slide member 2761, the surface 3979 can no longer support member 3940.

[0355] 除上述以外,再次参见图75,腔3950可被布置成纵向排。 [0355] In addition to the above, referring again to FIG. 75, the cavity 3950 may be arranged in longitudinal rows. 例如,腔3950可被布置成包括两个最内排、两个最外排和定位在每个最内排与最外中间的排的六个纵向排。 For example, the cavity 3950 may be arranged to comprise two innermost rows, two rows and positioned at the outermost longitudinal rows of each row of six innermost intermediate the outermost row. 设想到其它实施方案,其中腔3950被布置成少于六排或多于六排。 Other embodiments contemplated embodiment, wherein a cavity 3950 is arranged to discharge less than six or more than six rows. 在任何情况下,限定于仓体3910 中的腔3950中的一些都可被构造成能够支撑和引导构件3940,如上文所讨论,而腔3950中的一些可包含例如可移除地存储于其中的钉,诸如钉2630。 In any event, the cartridge body 3910 to define a cavity 3950 that some may be configured to be able to support and guide member 3940, as discussed above, the cavity 3950 may comprise, for example, some removably stored therein nail, such as staples 2630. 滑动件3970可被构造成能够部署构件3940并且,此外,击发钉。 The slide member 3970 may be configured to be deployed member 3940 and, in addition, firing the staples. 在至少一种这样的情况下,滑动件3970还可包括至少一个斜坡2873,所述至少一个斜坡包括斜坡表面3971,该斜坡表面被构造成能够例如朝着砧座20提升钉驱动器2640,其如上所讨论可击发钉2630。 In at least one such case, the slide member 3970 may further comprise at least one ramp 2873, the ramp surface comprises at least one ramp 3971, the ramp surface is configured to be, for example, toward the anvil 20 and lift the staple drivers 2640, which as firing the staples 2630 may be discussed. 在各种情况下,斜坡3972可领先斜坡2873。 In each case, the ramp 3972 may lead ramps 2873. 在此类情况下,斜坡3972可在斜坡2873将邻近构件3940的钉提升到其完全成形位置中之前将构件3940部署到其部署位置中。 In such cases, the ramp 3972 may ramp member 2873 adjacent to the staple 3940 is raised to its fully formed position prior to the deployment member 3940 to its deployed position. 设想到各种实施方案,其中最外排腔3950包括存储于其中的组织接合构件3940,并且最内排和中间排腔3950包括可移除地存储于其中的钉。 Contemplated the various embodiments, wherein the outermost row 3950 includes a storage chamber therein tissue engaging member 3940, and the innermost row and the middle row chamber 3950 includes a removable staple stored therein. 此类实施方案可在限定于仓体中的纵向刀狭槽的每侧上包括两排钉和一排组织接合构件3940。 Such embodiments may include a row of two rows of staples and a tissue-engaging member 3940 on each side of the cartridge body to define a longitudinal knife slot. 设想到其它实施方案,其中可使用构件3940和钉的任何合适的布置。 Other embodiments contemplated embodiment, in which any suitable arrangement member 3940 and staple use.

[0356] 如上文所讨论,设想到这样的实施方案:其中钉仓可包括多排钉和多排可部署组织接合构件。 [0356] As discussed above, such embodiments contemplated: wherein staple cartridge can include a plurality of rows and rows of staples can be deployed tissue engaging member. 在至少一个实施方案中,可部署组织接合构件可不散置于钉排内。 In at least one embodiment, tissue engaging member can deploy staples disposed inner row may be square. 设想到其它实施方案,其中可部署组织接合构件分散在钉排内。 Other embodiments contemplated embodiment, the tissue-engaging member may be deployed within the staple rows dispersed. 同样如上文所讨论,可设想到这样的实施方案:其中使用钉腔来存储可部署组织接合构件。 Also as discussed above, it may be contemplated such embodiments: where to store the staple cavities deployable tissue engaging member. 设想到某些实施方案,其中组织接合构件不存储在钉腔内并且可存储在邻近钉腔的钉排内。 Contemplated that in certain embodiments, wherein the tissue engaging member is not stored within the staple cavity and may be stored in adjacent rows of staples in the staple cavities.

[0357] 图90至图93示出了包括可部署组织接合突出部的另一实施方案。 [0357] FIGS. 90 to 93 illustrate further comprising deploying a tissue engaging portion projecting embodiment. 钉仓5300例如可包括仓体5310,所述仓体包括限定于其中的平台5311和多个钉腔5350。 A staple cartridge 5300 may comprise, for example, the cartridge body 5310, the cartridge body comprises a platform defining therein a plurality of staple cavities 5311 and 5350. 钉仓5310可包括可移除地存储在钉腔5350内的钉5330以及被构造成能够从钉腔5350顶出钉5330的多个驱动器5340。 5310 can comprise staple cartridge removably store staples within the staple cavities 5330 and 5350 can be configured to drive a plurality of staples from the staple cavities 5330 5340 5350. 钉仓5310还可包括可移除地存储在钉腔5350内的一个或多个可部署突出部5351, 如下文将进一步更详细地讨论。 The staple cartridge 5310 may also include a removable storage, as will be discussed in more detail within the staple cavities 5350 or more protrusions 5351 may be deployed further. 每个驱动器5340可包括被构造成能够支撑钉5330的底座5341,并且此外,可包括被构造成能够被滑动件诸如滑动件5370接合的驱动表面5342。 Each drive 5340 may include a base configured to support a staple 53,415,330, and furthermore, may be configured to include a slide member such as a slide member 5370 engages the drive surface 5342. 类似于上述,滑动件5370能够在未部署位置与部署位置之间提升驱动器5340。 Similar to the above, the slide member 5370 can be in the undeployed position between the lifting driver 5340 and a deployed position. 图92示出了驱动器5340和处于其未部署位置的钉5330。 FIG 92 illustrates the staple driver 5340 and 5330 in its non-deployed position. 主要参见图93,驱动器5340能够在未部署位置与部署位置之间提升可部署突出部5351。 Referring primarily to FIG. 93, the driver 5340 can be in the undeployed position and a deployed position between the lift projecting portion 5351 can be deployed. 在至少一种这样的情况下,主要参见图90和图91,每个驱动器5340可组装在围绕驱动器5340的近侧端部定位的第一可部署突出部5351以及围绕驱动器5340的远侧端部定位的第二可部署突出部5351之间,其中驱动器5340的向上移动可被传递至可部署突出部5351以将突出部5351移动至其部署位置。 In at least one such case, referring primarily to FIGS. 90 and 91, each drive assembly 5340 may end 5351 and a distal portion of the first projection may be positioned around a proximal deployed end 5340 of the drive around the drive 5340 positioned between the second projection 5351 may be deployed, wherein the upward movement of the driver 5340 may be transmitted to the projection 5351 may be deployed to the protrusion 5351 moves to its deployed position. 在至少一种情况下,突出部5351可与驱动器5340摩擦接合。 In at least one case, the protruding portion 5351 is engageable with a friction drive 5340. 当驱动器5340被向上提升时,驱动器5340与突出部5351 之间的摩擦配合可将突出部5351向上提升。 When the driver 5340 is lifted up, and the friction between the drive 5340 of the projection 5351 with the projection 5351 may be lifted up. 每个突出部5351可包括可被构造成能够接触组织并向组织施加压缩力的组织接合部分5352。 Each projection may comprise 5351 can be configured to contact tissue and tissue can be a compressive force exerted by the tissue engaging portion 5352. 在各种情况下,突出部5351可向组织施加压缩力,直到压缩力超过突出部5351与将突出部5351向上移动的驱动器5340之间的静摩擦力。 In each case, the protruding portion 5351 may apply a compressive force to the tissue, until the compression force exceeds the static friction force between the protrusion 5340 and the protrusion 5351 5351 upward movement of the drive. 这时,驱动器5340可相对于突出部5351移动或滑动。 In this case, the driver 5340 may move or slide relative to the projection 5351. 换句话讲,驱动器5340可跟与其相关联的突出部5341脱离。 In other words, the drive portion 5340 may protrude 5341 associated with detachment.

[0358] 在各种情况下,再次参见图93,当突出部5351处于其未部署位置时,可部署突出部5351的组织接合部分5352可不延伸到平台5311之上。 [0358] In each case, referring again to FIG. 93, when the projecting portion 5351 is in its undeployed position, the protrusion 5351 can be deployed tissue engaging portion 5352 may not extend above the platform 5311. 在其它情况下,当突出部5351处于其未部署位置时,可部署突出部5351的组织接合部分5352可延伸到平台5311之上。 In other cases, when the projecting portion 5351 is in its undeployed position, the protrusion 5351 can be deployed tissue engaging portion 5352 may extend above the platform 5311. 在任一种情况下,当突出部5351处于其部署位置时,可部署突出部5351的组织接合部分5352可延伸到平台5311之上。 In either case, when the protruding portion 5351 is in its deployed position, the protrusion 5351 can be deployed tissue engaging portion 5352 may extend above the platform 5311. 除上述以外,每个突出部5351与驱动器5340之间的摩擦配合可相同,使得驱动器5340将相对于突出部5351滑动的力(即,滑动力)对于每个突出部5351可相同。 Addition to the above, each of the friction between the protruding portion 5340 and the driver 5351 may be identical with, so that 5340 will be the same as the drive force of the protruding portion 5351 slides with respect to (i.e., slide force) 5351 for each projection. 设想到其它实施方案,其中某些突出部5351与某些驱动器5340之间的摩擦配合可不同于其它突出部5351与其它驱动器5340。 Other embodiments contemplated in which some of the friction between the protruding portion 5351 and the driver 5340 with some other protruding portion 5351 may be different from the other driver 5340. 在此类实施方案中,突出部5351与驱动器5340之间的滑动力可不同。 In such embodiments, the sliding force between the protruding portion 5351 and the driver 5340 may be different. 在至少一个实施方案中,定位在驱动器5340的远侧端部处的第一突出部5351可开始以第一滑动力滑动且定位在驱动器5340的近侧端部处的第二突出部5351可开始以不同于第一滑动力的第二滑动力滑动。 In at least one embodiment, the first projection 5351 is positioned at the distal end of the actuator 5340 may begin at a first power slide carriage and positioned at a second protruding portion 5351 at the proximal end of actuator 5340 can begin a second sliding force different from the first slide sliding force. 在各种情况下,由于上述,突出部5351可向组织施加的压缩力可受到限制。 In each case, since the compressive force applied to the projecting portion 5351 may be restricted to the tissue. 此外,由于上述,突出部5351可从仓体5310的平台5311延伸的距离可受到限制。 Further, since the above, the protruding portion 5351 may extend away from the cartridge body 5310 of the platform 5311 may be limited. 在各种情况下,突出部5351可包括对被缝合的组织类型和/或组织厚度的可变响应。 In each case, the protruding portions 5351 may include the type of tissue being sutured and / or variable in response to tissue thickness. 例如,相比于当组织更厚和/或更刚性时,当组织更薄和/或更柔韧时,突出部5351可更远离平台5311部署。 For example, when the tissue as compared to a thicker and / or stiffer, the tissue when thinner and / or more flexible, the protruding portion may be further away from the platform 5351 5311 deployment. 在任何情况下,驱动器5340与突出部5351之间的滑动配合可防止组织被突出部5351过压缩。 In any case, the driver 5340 and the sliding fit between the projecting portion 5351 projecting portion 5351 prevents tissue over-compression.

[0359] 除上述以外,突出部5351可相对于仓平台5311浮动。 [0359] Besides the above, the protruding portions with respect to the cartridge 5351 may be a floating platform 5311. 在各种情况下,突出部5351可动态响应于在捕获于砧座20与钉仓5300之间的组织内形成的压缩压力。 In each case, the protruding portions 5351 may be formed dynamically in response to a compressive pressure in the captured between anvil 20 and staple cartridge 5300 of the tissue. 在至少一种情况下,击发构件2760可在击发构件2760朝远侧推进时朝着钉仓5300凸轮推动或移动砧座20。 In at least one case, the firing member 2760 may push or move the anvil 20 when the firing member 2760 distally advance toward the staple cartridge 5300 of the cam. 当砧座20朝着钉仓5300移动时,组织可被砧座20压缩,其中,响应于此,突出部5351可向下移动或缩回到例如仓体5310中。 When the anvil 20 toward the staple cartridge 5300 to move anvil 20 tissue can be compressed, wherein, in response thereto, the protruding portions 5351 may be moved downward or retracted into the cartridge body 5310, for example.

[0360] 在各种情况下,钉仓可包括从仓体的平台刚性延伸的突出部。 [0360] In various circumstances, a staple cartridge can comprise a rigid projection extending from the platform of the cartridge body. 在至少一种情况下, 平台和突出部可不相对于彼此移动。 In at least one case, and the protruding platform portions may move relative to one another. 在其它情况下,平台可相对于突出部移动。 In other cases, the platform may be moved relative to the projecting portion. 在至少一种这样的情况下,突出部可从仓体稳固地延伸,并且平台可包括可移动表面。 In at least one such case, the protruding portion may extend from the cartridge body firmly, and the platform may include a movable surface. 当组织被压缩在砧座与此类钉仓之间时,平台可相对于突出部向下移动。 When tissue is compressed between the anvil and the staple cartridge such, the platform may be moved downwardly relative to the projecting portion. 平台能够在第一位置与第二位置之间移动。 The platform is movable between a first position and a second position. 当平台处于其第一位置时,突出部可不延伸到平台的顶部表面之上。 When the platform is in its first position, the projection portion may not extend above the top surface of the platform. 在这种情况下,当平台处于其第一位置时,突出部可凹陷低于平台的顶部表面。 In this case, when the platform is in its first position, the protruding portion may be recessed below the top surface of the platform. 当平台移动到其第二位置中时,突出部可被暴露并延伸到平台的顶部表面之上。 When the platform is moved to its second position, the protruding portion can be exposed and extend above the top surface of the platform. 另选地,当平台处于其第一位置和其第二位置时,突出部可延伸超过顶部平台表面。 Alternatively, when the platform is in its first position and its second position, the protruding portion may extend over the top surface of the platform. 在任一种情况下,其中平台相对于突出部移动的距离可为施加至组织的压力的函数。 In either case, the function of which with respect to the moving distance of the protrusion may be a pressure applied to the tissue internet. 例如,当向组织施加较大压缩力时,平台可移动较大距离,并且当向组织施加较小压缩力时,平台可移动较小距离。 For example, when a large compressive force is applied to the tissue, a greater distance of the movable platform, and when the compressive force is applied to the tissue is small, a small distance of the movable platform. 顶部平台表面可响应于施加至其的压缩压力而浮动。 The top surface of the platform in response to a compressive pressure is applied thereto to float. 设想到某些实施方案,其中平台包括单片材料。 Contemplated that in certain embodiments, wherein the platform comprises a single piece of material. 设想到其它实施方案,其中平台包括多个部分。 Other embodiments contemplated embodiment, wherein the platform comprises a plurality of portions. 在至少一个此类实施方案中,每个部分可独立于其它部分做出反应。 At least one such embodiment, each section can be made independently of the other portions of the reaction. 在各种情况下,平台可由可响应于施加至其的压缩压力而偏转的弹性材料构成。 In each case, the platform may be formed of an elastic material in response to a compressive pressure applied to its deflected configuration. 在至少一种情况下,平台可由例如泡沫构成。 In at least one instance, the platform may be constituted for example of foam. 在某些情况下,平台可由例如氧化再生纤维素构成。 In some cases, for example, the platform may be oxidized regenerated cellulose. 平台可由可植入材料或可植入材料构成。 The implantable material can be internet or implantable materials. 平台既可植入到也可不植入到患者体内。 The platform can not be implanted into implanted in a patient. 在各种情况下,平台可包括限定于其中的孔,所述孔可允许平台与突出部之间的相对移动。 In each case, the platform may include defining a hole therein, the hole may allow relative movement between the platform and the projecting portion. 在至少一种这样的情况下,孔可包括通孔,并且突出部可定位在通孔内。 In at least one such case, the hole may include a through hole, and the projecting portion may be positioned in the through hole. 在某些情况下,孔可包括间隙狭槽,所述间隙狭槽围绕钉腔以及围绕钉腔延伸的一个或多个突出部延伸。 In some cases, the aperture may comprise a slot gap, the gap around the slot and staple cavities extending around one or more protrusions extending staple cavities. 当钉从钉腔顶出时,钉可穿过由间隙狭槽提供的开口。 When the staples ejected from staple cavities, a staple may pass through the opening provided by the clearance slot. 在一些情况下,平台的至少一部分可由钉捕获以抵靠被缝合的组织植入平台。 In some cases, at least a part of the platform may be captured in the staple against the tissue implant sutured internet.

[0361] 在各种情况下,本文所公开的钉仓可包括辅助材料。 [0361] In various circumstances, as disclosed herein, a staple cartridge may include an auxiliary material. 辅助材料可包括至少一个材料层,所述至少一个材料层定位在钉仓的平台上并且被例如从钉仓部署的钉植入到患者中。 Adjuvant materials can comprise at least one layer of material, said at least one layer of material is positioned on the staple cartridge, for example, are implanted from the internet and staple cartridge deployed into the patient. 在各种情况下,所述至少一层材料可包含例如支撑材料和/或组织厚度补偿件。 In each case, the material may comprise, for example, at least one layer of support material and / or tissue thickness compensator. 所述至少一个材料层可由例如Gore SeamGuard材料、Synovis Peri-Strips材料和/或聚氨酯组成。 The at least one layer of material may be formed, for example, Gore SeamGuard material, Synovis Peri-Strips material and / or polyurethane. 公开此类层的多个参考文献已以引用方式并入。 Reference discloses a plurality of such layers has been incorporated by reference. 2013年2月28日提交的名称为"LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES"的美国专利申请序列号13/763,095 (现为美国专利申请公布2013/0161374)的全部公开内容以引用方式并入本文中。 Name February 28, 2013 entitled "LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES" US Patent Application Serial No. 13 / 763,095 (now US Patent Application Publication 2013/0161374) the entire disclosure of which is incorporated herein by reference. 2012年6月25 日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR COMPRISING INCORPORATING A HEMOSTATIC AGENT"的美国专利申请序列号13/531,619(现为美国专利申请公布2012/0318842)、2012年6月25 日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN OXYGEN GENERATING AGENT" 的美国专利申请序列号13/531,623 (现为美国专利申请公布2012/0318843)、2012年6月25日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR IN⑶RPORATING AN ANTIMICROBIAL AGENT" 的美国专利申请序列号13/531 ,627 ( 现为美国专利申请公布2012/ 0312860)以及2012年6月25 日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN ANTI-INFLAMMATORY AGENT" 的美国专利申请序列号13/ 531,630 (现为美国专利申请公布2012/0318844)的全部公开内容以引用方式并入本文中。 Name June 25, 2012 entitled "TISSUE STAPLER HAVING A THICKNESS COMPENSATOR COMPRISING INCORPORATING A HEMOSTATIC AGENT" US Patent Application Serial No. 13 / 531,619 (now US Patent Application Publication 2012/0318842), June 25, 2012 name submitted for "TISSUE STAPLER HAVING a THICKNESS COMPENSATOR INCORPORATING AN OXYGEN GENERATING AGENT" US Patent application serial No. 13 / 531,623 (now US Patent application publication 2012/0318843), the name of June 25, 2012 entitled "TISSUE STAPLER HAVING a THICKNESS COMPENSATOR IN⑶RPORATING AN ANTIMICROBIAL AGENT "US Patent application serial number 13/531, 627 name (now US Patent application publication 2012/0312860) and filed June 25, 2012 for" TISSUE STAPLER HAVING a THICKNESS COMPENSATOR iNCORPORATING AN ANTI-INFLAMMATORY AGENT "U.S. Patent application serial No. 13 / 531,630 (now U.S. Patent application Publication 2012/0318844) the entire disclosure is incorporated by reference herein. 层可由可生物吸收材料和/或不可生物吸收材料构成。 Layer material may be bioabsorbable and / or non-bioabsorbable material. 在一些情况下,材料层可附接到平台。 In some cases, the material layer may be attached to the platform. 在至少一种情况下,可利用至少一种粘合剂将层可释放地附着到平台。 In at least one circumstance, utilizing at least one adhesive layer is releasably attached to the internet. 在一些情况下, 材料层可利用例如一个或多个缝合线或带可释放地附接到平台。 In some cases, the material layer may, for example, using one or more suture or tape is releasably attached to the internet. 在某些情况下,所述层可包括固体材料片。 In some cases, the layer may comprise a sheet of solid material. 在一些情况下,层可包括限定于其中的孔。 In some cases, the layer may comprise apertures defined therein. 在至少一种这样的情况下,层可与例如钉仓2000-起使用,并且可包括例如限定于其中的孔、狭缝和/或狭槽,所述孔、狭缝和/或狭槽与从钉仓2010的平台2011延伸的突出部2051和/或突出部2053对齐。 In at least one such case, the layer may be used, for example, from a staple cartridge 2000-, and may include, for example, defining a hole therein, the slits and / or slots, said apertures, slits and / or slots and / or the alignment projection 2053 projecting portion extending from the staple cartridge 2010 of the platform 2011 and 2051. 在某些情况下,孔可包括完全延伸穿过层的通孔或窗口。 In some cases, the aperture may comprise a window or through hole extending completely through the layer. 例如孔、狭缝和/或狭槽可使用例如刀片式切割构件来切割到层中。 Such as holes, slits and / or slots may be used such as blade cutting member to cut into the layer. 在一些情况下,例如孔、狭缝和/或狭槽可在例如模制层时形成。 In some cases, such as holes, slits and / or slots may be formed, for example, when the molding layer. 在某些情况下,例如孔、狭缝和/或狭槽可使用例如激光切割工艺形成在层中。 In some cases, such as holes, slits and / or slots may be formed, for example, a laser cutting process used in the layer. 在一些情况下, 孔可包括限定于层中的不完全延伸穿过层的凹槽。 In some cases, it may include an aperture layer is not limited to the grooves extend completely through the layer. 在各种情况下,突出部可紧密地接收在孔内使得可防止或至少限制仓体2010与层之间的相对移动。 In each case, the protruding portion may be closely received within the bore so prevented or at least limited relative movement between the cartridge body 2010 and the layer. 在至少一种这样的情况下,在突出部与孔的侧壁之间可存在过盈配合。 In at least one such case, the side wall between the projecting portion of the bore there may be an interference fit.

[0362] 除上述以外,辅助层可由例如织造层和/或非织造层构成。 [0362] In addition to the above, the auxiliary layer may be, for example, a woven layer and / or nonwoven layers. 层可由例如膜构成。 Layer may be, for example, film. 在各种情况下,层可包括例如从其延伸的能够防止或至少限制组织相对于钉仓的流动的纹理表面、突出部和/或突起。 In each case, the layer may comprise, for example, possible to prevent or at least limit its textured surface with respect to the flow of the staple cartridge tissue extending projecting portion and / or projections. 层可包括第一组区域和第二组区域,所述第一组区域由从钉仓顶出的钉接合和/或捕获在所述钉内,所述第二组区域不由所述钉接合或捕获在所述钉内。 Layer may comprise a first set of regions and the second set of regions, the region engaged by the first set of staples from the staple cartridge top and / or captured within the staples, the staples of the second set of regions engaged or not by captured within the staple. 在各种情况下,可修改第二组区域。 In each case, a second set of regions may be modified. 在至少一种情况下,层可由膜组成,并且膜的第二组区域可被修改以包括例如孔、狭缝和/或狭槽。 In at least one case, the film layer may be composed of a second set of regions and the film may be modified to include, for example, holes, slits and / or slots. 在至少一种情况下,此类层的周边可包括限定于其中的可软化层的边缘的切口。 In at least one case, the periphery of such layers may include a notch defined therein softenable layer edges. 在某些情况下,可在层中制作切口图案。 In some cases, the incision can be made in the pattern layer. 在至少一种这样的情况下,切口图案可包括例如相对于彼此以45度角延伸的切口。 In at least one such case, the cut pattern may comprise, for example, another slit extending at an angle of 45 degrees with respect to. 在一些情况下,切口的深度、宽度和/或间距可以是随意的。 In some cases, the incision depth, width and / or spacing may be arbitrary. 上述切口可使膜层更具柔性、拉伸性和/或柔顺性。 The cut film can be more flexible, tensile and / or compliance. 上述切口可制作到例如织造或非织造材料上。 The cut to be made, for example, a woven or nonwoven material. 可使用任何合适的工艺,例如藉由机械刀片系统和/或激光切割系统,来制作上述切口。 Any suitable process may be used, for example, by a mechanical blade system and / or laser cutting systems, to make the cut. 在各种情况下,可不如上文所讨论修改层的第一组区域。 In each case, it may be better to modify the first set of regions above the layer in question.

[0363]如上文所讨论,由固体材料片构成的层可被修改成使层更具柔性、拉伸性和/或柔顺性。 [0363] As discussed above, the solid layer is made of a sheet material may be modified such that the layer more flexible, tensile and / or compliance. 层可由粘结在一起的几个材料片装配而成。 Several layers may be bonded sheet material assembled together. 在至少一种情况下,在粘结的材料片之间可存在例如孔、狭缝和/或狭槽。 In at least one case, for example, there may be holes, slits and / or slots between the bonded sheet material. 在某些情况下,可将高度非弹性的可吸收聚合物的条带焊接到较薄更柔性的膜中以在某些预期方向上提供拉伸并且限制其它方向上的拉伸。 In some cases, a highly absorbent article may be non-elastic band is welded to the thinner polymer films more flexible to provide stretch in a desired direction and to limit certain stretching in other directions. 此类条带还可用于增强膜的高应力部分,同时允许膜的其它部分保持柔软和柔顺。 Such strips may also be used to enhance the high stress portion of the film, while allowing other portions of the film remains soft and supple. 实现这种效果的一种方式将是,制作若干薄条带,所述薄条带由较硬的聚合物诸如Vicryl组成。 One way of achieving this effect would be to produce a plurality of thin strips, the thin strips of relatively rigid polymeric composition, such as Vicryl. 这些条带可为例如大约0.015〃至0.030〃宽,并且延伸例如钉线的整个长度。 These strips may, for example, to about 0.015〃 0.030〃 wide and extends the entire length of the staple line. 可布置六个条带以与六个纵向钉排的钉线侧向宽展对应。 It may be arranged to correspond to the six strips six longitudinal rows of staples in the staple line laterally broadened. 然后,可将薄的连续膜层焊接到这六个条带,所述膜层为例如大约0.003〃至0.005〃宽并且由柔软且弹性的聚合物诸如此11〇(3巧1或36/64?64/?(^组成。在一些情况下,可使用压塑模制操作。结果将是具有软性侧面和易于侧向而不是纵向拉伸的能力的高度增强的钉线。从膜延伸的条带甚至可产生将使沿期望的方向的膜上的组织流动最小化的牵引式保持特征结构。在某些情况下,可修改由织造和/或非织造材料组成的层以便固化层的某些区域,诸如第一组区域。可将扁平挤出纤维织造成条带,并且然后,通过使用制毡和/或另一基于热量的技术,可将例如第一组区域熔合在一起以将其固化。在一些情况下,可将层的全部熔合在一起。 Then, a thin continuous layer can be welded to these six bands, for example, about the film layer to 0.005〃 0.003〃 wide and made of a soft and resilient polymer such as this 11〇 (1 or 3 36/64 Qiao ? 64 /? (^ composition. in some cases, may be manufactured using a press molding operation. the result is a highly flexible reinforcing staple lines rather than the lateral side and the easy ability to longitudinally stretched. film extending from the strip can be produced even in the desired direction will cause the tissue to minimize the flow of film pull-type retention features. in some cases, the layer may be modified so that the cured layer of woven and / or nonwoven material is a some regions, such as the first set of regions may be extruded fibers woven flat strips, and then, by using a felting and / or another heat-based technique, for example, a first set of regions may be fused together so as to be cured. in some cases, all layers may be fused together.

[0364] 如上文所讨论,钉仓可包括从仓体延伸的突出部。 [0364] As discussed above, a staple cartridge can include a protruding portion extending from the cartridge body. 除了或代替这些突出部,砧座可包括从其延伸的突出部,所述突出部可被构造成能够:一,控制组织相对于砧座和仓体的流动;二,使钉腔从组织的相对侧延伸;并且/或者,三,在钉正从钉腔顶出时支撑和/或引导钉。 In addition to or instead of these projecting portions, the anvil may include a projection extending therefrom, the protrusion may be configured to be: a control tissue relative to the flow of the anvil and the cartridge body; two, tissue staples from the cavity extending opposite sides; and / or, three, supporting the staples from the staple is out of the roof and / or guide the staples.

[0365] 图66和图67中示出了砧座3320。 [0365] FIG. 66 and FIG. 67 shows an anvil 3320. 砧座3320可包括远侧端部3323、近侧端部3326、以及组织接合表面3321。 The anvil 3320 may include a distal end 3323, proximal end 3326, and a tissue engaging surface 3321. 砧座3320还可包括枢轴3327,砧座3320可围绕所述枢轴在打开位置与闭合位置之间旋转。 The anvil 3320 may further include a pivot 3327, the anvil 3320 is rotatable about the pivot between an open position and a closed position. 砧座3320还可包括限定于其中的纵向狭槽3325,所述纵向狭槽被构造成能够将击发和/或切割构件的一部分接收在其中。 The anvil 3320 may further include a limited longitudinal slot 3325 therein, the longitudinal slot is configured to be firing and / or cutting member receiving portion therein. 砧座3320还可包括侧面,所述侧面可包括从其延伸的纵向突出部或壁3323。 The anvil 3320 may further comprise sides which can comprise a longitudinal wall or projection 3323 extending therefrom. 在各种情况下,纵向壁3323可包括例如圆齿状表面。 In each case, longitudinal wall 3323 may include a scalloped surface, for example. 在一些情况下,纵向壁3323可包括例如平坦表面。 In some cases, longitudinal wall 3323 may comprise, for example, a flat surface. 类似于上述,壁3323能够限制或阻碍例如组织相对于砧座3320的侧向流动。 Similar to the above, the wall 3323 can be restricted, such as tissue or impede the lateral flow with respect to the anvil 3320.

[0366] 除了上文所述,砧座3320可包括限定于其中的多个钉成形凹坑3322,所述钉成形凹坑可布置成纵向排,所述纵向排可与限定于钉仓中的钉腔对准。 [0366] In addition to the above, the anvil 3320 may include defining a plurality of staple forming pockets therein 3322, the staple forming pockets may be arranged in longitudinal rows, with said longitudinal rows of staple cartridge define staple cavities aligned. 例如,成形凹坑3322可被布置在最内排3328a、最外排3328c以及最内排3328a与最外排3328c中间的排3328b中。 For example, forming pockets 3322 may be disposed at the innermost rows 3328a, 3328c, and 3328a outermost row and the outermost row of the intermediate row 3328b 3328c innermost row. 在至少一种情况下,每个钉成形凹坑3322可包括第一或远侧成形杯3322a和第二或近侧成形杯3322b。 In at least one case, each staple forming pocket 3322 may include a first forming cup 3322a or distal or proximal and a second cup-shaped 3322b. 第一成形杯3322a可被构造成能够接收并变形钉的第一腿部,并且第二成形杯3322b 可被构造成能够接收并变形钉的第二腿部。 First forming cup 3322a may be configured to receive and deformation of the first leg portion of the staple, and a second cup shaped 3322b may be configured to receive and deform the second leg portion of the staple. 第一成形杯3322a和第二成形杯3322b可由平面3322c分隔开。 Forming first and second cup-shaped cup 3322a 3322b 3322c may be spaced apart from the plane. 砧座3320还可包括组织接合突出部3324。 The anvil 3320 may further comprise a tissue engaging projection 3324. 突出部3324可定位在第一成形杯3322a与第二成形杯3322b中间。 Protruding portions 3324 may be positioned in a first forming cup 3322a and 3322b of the second cup-shaped intermediate. 第一突出部3324可定位在平面3322c的第一侧面上且第二突出部3324可定位在平面3322c的第二侧面上。 The first projection 3324 may be positioned on a first side of the planar portion 3322c and second protrusion 3324 may be positioned on the second side of the plane 3322c. 从砧座3320延伸的突出部3324可与从钉仓延伸的突出部配合以引导和支撑正从钉仓顶出的钉。 Projection 3324 extending from the anvil 3320 may cooperate with projecting portions extending from the staple cartridge to guide and support the positive ejection of the staples from the staple cartridge. 在至少一种情况下,砧座突出部3324 和钉仓突出部可互锁。 In at least one case, the anvil 3324 and staple cartridge projection projecting portions interlockable. 在各种情况下,仓突出部可从钉腔的端部延伸而砧座突出部3324可定位在例如钉腔的中部上的仓突出部中间。 In each case, the cartridge protrusions may extend from the end portion of the staple cavity and the anvil protrusion 3324 may be positioned intermediate the cartridge, for example, on the central projecting portion staple cavities. 砧座突出部3324和仓突出部可配合以使钉腔延伸并且在钉正紧靠砧座3320形成时支撑并引导钉。 The anvil 3324 and the cartridge projection projecting portion may be fitted to and extending the staples in the staple cavities timing against the anvil support and guide the staples 3320 are formed. 从钉腔的端部延伸的仓突出部可在钉腿从钉腔显露并接触砧座3320时支撑并引导钉的腿部。 Cartridge projecting portion extending from an end portion of the staple cavity 3320 can be exposed and in contact with the support and guide the staple legs of the staple from the anvil at the staple legs cavities. 当钉腿在成形杯3322a,3322b内变形时,钉腿可由从砧座延伸的突出部3324支撑和导引。 When the staple legs 3324 supporting and guiding the forming cup 3322a, when the deformation of the inner 3322b, the staple legs may extend from the projecting portion of the anvil. 在各种情况下,钉腿可同时由仓突出部和砧座突出部3324支撑和引导。 In various circumstances, the staple legs 3324 can be simultaneously supported and guided by the anvil and cartridge projection projecting portion. 在一些情况下,钉腿可由仓突出部和砧座突出部3324支撑和引导,但不是同时。 In some cases, the staple legs by the cartridge and the guide projecting portion 3324 and the support anvil protruding portion, but not both.

[0367] 在各种情况下,成形杯3322a,3322b可被构造成能够接收从其中的钉仓延伸的突出部的至少一部分。 [0367] In each case, forming cup 3322a, 3322b may be configured to be able to receive the protruding portion extending from wherein at least a portion of the staple cartridge. 在至少一种这样的情况下,每个成形杯3322a,3322b可包括宽外端和窄内端,所述宽外端被构造成能够接收从钉仓延伸的突出部。 In at least one such case, each forming cup 3322a, 3322b may comprise a wide end and a narrow outer end, the outer end of the wide protrusion portion is configured to be received extends from the staple cartridge. 成形杯3322a,3322b的宽外端还可被构造成能够初始地接收钉腿。 Forming cup 3322a, 3322b outer wide end may also be initially configured to be able to receive a staple leg. 成形杯3322a,3322b还可包括弯曲表面,所述弯曲表面被构造成能够朝着成形杯3322a,3322b的窄内端对钉腿导向。 Forming cup 3322a, 3322b may also include a curved surface, the curved surface is configured to be narrow towards the molding cup 3322a, 3322b of the end of the staple leg guide pair. 钉腿然后可从窄内端退出成形杯3322a,3322b,其中突出部3324被设置成支撑和引导钉腿。 End of the staple legs can then exit from the cup shaped narrow 3322a, 3322b, 3324 wherein the protruding portion is disposed to support and guide the staple legs. 每个成形杯3322a,3322b可包括在宽外端与窄内端中间的成角表面。 Each forming cup 3322a, 3322b may be included within the wide end and the narrow outer end of the intermediate angled surface. 成角表面可引导成形杯3322a,3322b内的钉腿、限制钉腿的侧向移动、并且改善钉腿与窄内端的对齐。 Angled surface 3322A may direct the cup shaped, inside the staple legs 3322b, to limit lateral movement of the legs of the staple, the staple legs and to improve alignment with the narrow end.

[0368] 除上述以外,突出部3324能够在缝合和/或横切组织时接合组织并使组织保持就位。 [0368] Besides the above, the protruding portion 3324 to engage tissue when the suture and / or transecting tissue and tissue in place. 在某些情况下,每个突出部3324可包括从组织接合表面3321延伸的包括平坦表面的平台。 In some cases, each may include a projection 3324 engaging the platform from the tissue surface 3321 includes a flat surface extending. 图89示出了包括砧座5220的可供选择的实施方案,所述砧座包括限定于其中的成形凹坑3322以及从其延伸的组织接合突出部5224。 FIG 89 shows an embodiment of the anvil 5220 includes alternative, the anvil comprises forming pockets defined therein and 3322 extending therefrom tissue engaging projection 5224. 类似于突出部3224,每个突出部5224可包括平台部分5224a以及被构造成能够接合组织的平坦表面5224b。 Similarly projecting portion 3224, each protrusion 5224 may include a platform portion 5224a and is configured to be a flat surface to engage tissue 5224b. 另外,每个突出部5224可包括在平台部分5224a与平坦表面5224c中间的过渡表面5224c。 Further, each protrusion 5224 may include a transition surface intermediate platform portion 5224a 5224c and 5224c in the flat surface. 在各种情况下,过渡表面5224c可包括例如半径。 In each case, the transition surface 5224c may, for example, comprise a radius. 在某些情况下,过渡表面5224c可包括例如斜面。 In some cases, the transition surface may comprise, for example, inclined surface 5224c.

[0369] 图87和图88中示出了砧座5120。 [0369] FIG. 87 and FIG. 88 shows the anvil 5120. 砧座5120可包括远侧端部5123、近侧端部5126、以及组织接合表面。 The anvil 5120 may include a distal end 5123, proximal end 5126, and the tissue engaging surface. 组织接合表面可包括阶梯。 Tissue engaging surface may comprise a step. 例如,组织接合表面可包括例如第一阶梯5121'和第二阶梯5121〃。 For example, tissue-engaging surface may comprise, for example, a first step 5121 'and a second step 5121〃. 第二阶梯5121〃可高于第一阶梯5121'且可从第一阶梯5121'延伸。 The second step may be higher than the first step 5121〃 5121 'and 5121 from the first step' extends. 砧座5120还可包括枢轴3327,砧座3320可围绕所述枢轴在打开位置与闭合位置之间旋转。 The anvil 5120 may further include a pivot 3327, the anvil 3320 is rotatable between an open position and a closed position about the pivot axis. 砧座5120还可包括限定于其中的纵向狭槽5125,所述纵向狭槽被构造成能够将击发和/或切割构件的一部分接收在其中。 The anvil 5120 may further include defining a longitudinal slot 5125 therein, the longitudinal slot is configured to be capable of firing and / or the cutting member receiving portion therein. 砧座5120还可包括侧面5123,所述侧面既可包括也可不包括从其延伸的纵向突出部或壁。 The anvil 5120 may further include a side surface 5123, the side surface may not include either projections or longitudinal walls extending therefrom. 在各种情况下,较高第二阶梯5121"可邻近纵向狭槽5125, 而第一阶梯5121'可邻近侧面5123。在各种情况下,与第一阶梯5121'相比,第二阶梯5121〃 可向组织施加更大的压缩力。在各种另选实施方案中,较高第二阶梯5121〃可与侧面5123相邻而第一阶梯5121'可与纵向狭槽5125相邻。尽管砧座5120包括两个阶梯,但砧座5120可包括多于两个阶梯。在任何情况下,砧座5120可包括在第一阶梯5121'与第二阶梯5121"之间延伸的可促进砧座5120相对于组织定位的斜坡表面5128"。 In each case, the higher the second step 5121, "5125 may be adjacent to the longitudinal slot, and the first step 5121 'may be adjacent to the side 5123. In various circumstances, the first step 5121' as compared to the second step 5121 〃 may exert a greater compressive force to the tissue. in various alternative embodiments, the second step 5121〃 higher side may be adjacent a first step 5123 and 5121 'may be adjacent to the longitudinal slot 5125. Although the anvil Block 5120 comprises two steps, but the anvil 5120 may include more than two steps. in any case, the anvil 5120 can comprise an anvil 5120 can facilitate between the first step 5121 'and the second step 5121' extending positioned relative to the tissue surface 5128 ramp. "

[0370] 除了上文所述,砧座5120可包括限定于其中的多个钉成形凹坑5122,所述钉成形凹坑可被布置成纵向排,所述纵向排可与限定于钉仓中的钉腔对准。 [0370] In addition to the above, the anvil 5120 may include defining a plurality of staple forming pockets therein 5122, the staple forming pockets may be arranged in longitudinal rows, with said longitudinal rows can be limited to the staple cartridge staple cavities aligned. 在各种情况下,最外排成形凹坑5122可限定在第一阶梯5121'中。 In each case, the outermost row forming pockets 5122 may be defined in a first step 5121 & apos ;. 最内排成形凹坑5122和中间排成形凹坑5122可限定在例如第二阶梯5121"中。设想到其它实施方案,其中中间排成形凹坑5122限定在第一阶梯5121'中。在任何情况下,砧座5120可包括从其延伸的组织接合突出部5124。在各种情况下,每个突出部5124可包括例如Η形构型。突出部5124可在例如相邻的成形凹坑5122之间延伸。突出部5124可在例如成形凹坑5122内的相邻成形杯之间延伸。在各种情况下,突出部5124可围绕成形杯的端部以支撑和引导由成形杯形成的钉腿。突出部5124可沿例如成形凹坑5122的侧面延伸。突出部5124可沿例如第一成形凹坑5122和第二成形凹坑5122的侧面延伸。成形凹坑5122的侧面可例如是平行的。在各种情况下,突出部5124可引导成形杯内的钉腿并限制钉腿的侧向移动。图88示出了位于成形凹坑5122的每一侧上的突出部5124。图88 还示出了位于成形凹坑5122的 5122 innermost row and the middle row forming pockets forming pockets 5122 may be defined in the second step, for example, 5121 "in the contemplated embodiments to other embodiment, wherein the middle row forming pockets defined in the first step 5122 5121 'In any case , the anvil 5120 may include tissue engaging protrusions extending therefrom 5124. in each case, each protrusion 5124 may include, for example Η-shaped configuration protruding portions 5124 may be, for example, adjacent to the forming pockets 5122 extends between the protruding portions 5124 may be formed, for example, extend between adjacent recesses in the forming cup 5122. in each case, the protruding portions 5124 may be formed about the ends of the staple legs to support and guide the cup formed by the cup-shaped the protruding portions 5124 may be, for example, along a side surface extending recesses 5122 forming the protruding portions 5124 may be, for example, a first side surface 5122 and the second forming pockets forming pockets 5122 extends along a pit formed, for example, the side surface 5122 may be parallel. in each case, the guide projecting portion 5124 may be formed within the staple legs to limit lateral movement of the cup and the staple legs. FIG. 88 shows a projection forming portion 5124. FIG positioned on each side of the pit 88 also shows 5122 forming a pit located 5122 形杯的每一侧上的突出部5124。在各种其它实施方案中, 突出部可邻近砧座5120的成形凹坑5122中的仅一些和/或成形凹坑5122的成形杯中的仅一些定位。 On each side of the protruding portion of the cup 5124. In various other embodiments, the protruding portions may be adjacent to the anvil forming pockets 5122 in 5120 only some and / or the cup shaped forming pockets of only some 5122 positioning.

[0371] 在各种情况下,从砧座延伸的突出部可具有相同的高度。 [0371] In each case, the protruding portion extending from the anvil may have the same height. 在其它情况下,从砧座延伸的突出部可具有不同的高度。 In other cases, the protruding portion extending from the anvil may have different heights. 现在转到图69,砧座3520可包括组织接合表面3321以及限定于其中的被构造成能够接收击发和/或切割构件的一部分的纵向狭槽3325。 Turning now to FIG. 69, the anvil 3520 may include tissue engaging surfaces 3321 and 3325 a longitudinal slot capable of receiving a portion of the firing and / or cutting member defined therein is configured. 砧座3520还可包括侧面,所述侧面可包括从其延伸的纵向突出部或壁3323。 The anvil 3520 may further comprise sides which can comprise a longitudinal wall or projection 3323 extending therefrom. 类似于上文所述,砧座3520 可包括成形凹坑,所述成形凹坑被布置在最内排3328a、最外排3328c以及最内排3328a与最外排3328c中间的排3328b中。 Similar to the above, the anvil 3520 may include forming pockets, the forming pockets are arranged in the innermost row 3328a, and the outermost row 3328a innermost row 3328c with the outermost row in the middle row 3328b 3328c. 在各种情况下,砧座3520可包括例如与最内排3328a相邻的纵向排第一突出部3551a、与中间排3328b相邻的纵向排第二突出部3551b、以及与最外排3228c相邻的纵向排第三突出部3551c。 In various circumstances, the anvil 3520 may for example comprise a first longitudinal row of projecting portion 3328a adjacent to the innermost rows 3551a, 3328b and the middle row of the second adjacent longitudinal rows of projecting portions 3551b, 3228c, and the outermost row phase adjacent longitudinal rows of the third projecting portion 3551c. 第一突出部3551a可从组织接合表面3221延伸第一距离且第二突出部3551b可从组织接合表面3221延伸不同于第一距离的第二距离。 A first projecting portion 3551a can extend a first distance from the tissue engagement surface 3221 and second engagement protruding portion 3551b may be different from a second distance from the surface 3221 extends a first distance from the tissue. 第三突出部3551c可从组织接合表面3221延伸可不同于第一距离和/或第二距离的第三距离。 The third protrusion portion 3551c can extend from the tissue engagement surface 3221 may be different from the third distance from the first and / or second distance. 在各种情况下,第三突出部3551c可高于第二突出部3551b且第二突出部3551b可高于第一突出部3551a。 In each case, the third projection may be higher than the second portion 3551c and the second protruding portion 3551b protruding portion 3551b may be higher than the first projecting portion 3551a. 在各种另选实施方案中,突出部3551a可与例如中间排3328b和/或最外排3328c相邻定位,突出部3551b可与例如最内排3328a和/或最外排3328c相邻定位,和/或突出部3551c可与例如最内排3328a和/或中间排3328b相邻定位。 In various alternative embodiments, the protruding portions 3551a 3328b may be, for example, the middle row and / or the outermost row 3328c positioned adjacent to, for example, the protruding portion 3551b may be an innermost row 3328a and / or the outermost row 3328c positioned adjacent to, and / or the projecting portion 3551c may be, for example, the innermost rows 3328a and / or 3328b located adjacent the middle row.

[0372] 砧座3420如图68所示。 [0372] 3420 of the anvil 68 shown in FIG. 砧座3420可包括远侧端部3423、近侧端部、以及组织接合表面3321。 The anvil 3420 may include a distal end 3423, a proximal end, and a tissue engaging surface 3321. 砧座3420还可包括枢轴3327,砧座3420可围绕所述枢轴在打开位置与闭合位置之间旋转。 The anvil 3420 may further include a pivot 3327, the anvil 3420 is rotatable about the pivot between an open position and a closed position. 砧座3420还可包括限定于其中的纵向狭槽3325,所述纵向狭槽被构造成能够将击发和/或切割构件的一部分接收在其中。 The anvil 3420 may further include a limited longitudinal slot 3325 therein, the longitudinal slot is configured to be firing and / or cutting member receiving portion therein. 砧座3420还可包括侧面,所述侧面可包括从其延伸的纵向突出部或壁3323。 The anvil 3420 may further comprise sides which can comprise a longitudinal wall or projection 3323 extending therefrom. 砧座3420可包括限定于其中的多个钉成形凹坑3322,所述钉成形凹坑可布置成纵向排,所述纵向排可与限定于钉仓中的钉腔对准。 The anvil 3420 may include defining a plurality of staple forming pockets therein 3322, the staple forming pockets may be arranged in longitudinal rows, the rows may be aligned with the longitudinal limited to the staple cavities of the staple cartridge. 在各种情况下,除上述以外,砧座3420可包括从其延伸的突出部。 In each case, in addition to the above, the anvil 3420 may include a projection extending therefrom. 例如,砧座3420可包括从其延伸的角锥形突出部3051和/或穹顶形突出部3151。 For example, the anvil 3420 may include and / or dome-shaped projection extending therefrom pyramidal portion 3051 protruding portion 3151. 突出部3051和/或突出部3151可改善可向组织施加的夹持力。 And / or the projecting portion 3151 can be improved clamping force applied to tissue protruding portion 3051.

[0373] 在各种情况下,砧座和从砧座延伸的突出部可由单片材料构成。 [0373] In various circumstances, the anvil and the protruding portion extending from the anvil may be a single piece material. 在至少一种情况下,突出部可与砧座一体形成。 In at least one case, the protruding portion may be formed integrally with the anvil. 砧座和突出部可由金属材料诸如不锈钢组成,并且可在例如机械加工和/或压印过程期间形成。 And the projecting portion of the anvil may be formed of a metal material such as stainless steel, for example, and may be formed during the machining and / or stamping process. 在某些情况下,突出部可装配到砧座。 In some cases, the protruding portions may be assembled to the anvil. 在至少一种情况下,突出部可附着到例如仓体。 In at least one case, for example, the protrusion may be attached to the cartridge body. 砧座和突出部可由相同的材料或不同的材料构成。 And the projecting portion of the anvil may be formed of the same material or different materials. 在至少一种情况下,砧座可由金属材料组成并且突出部可由弹性材料诸如橡胶、热塑性弹性体和/或山都平形成。 In at least one case, the anvil may be formed of a metallic material and the protrusion may be formed of an elastic material such as rubber, thermoplastic elastomer and / or Santoprene formed. 在各种情况下,突出部可由柔韧材料构成且可不损伤被突出部压缩的组织。 In each case, the protruding portion may be composed of a pliable material and may not damage the protruding portion of the compressed tissue. 突出部3051和/或突出部3151例如可由弹性材料诸如橡胶、热塑性弹性体和/或山都平形成。 Projecting portions 3051 and / or 3151, for example, protrusions may be formed of an elastic material such as rubber, thermoplastic elastomer and / or Santoprene formed. 在至少一种情况下,砧座可在机械加工和/或压印过程期间形成,并且突出部可使用比组成砧座的材料更柔韧的材料在模塑过程期间形成在砧座上。 In at least one case, the anvil may be formed during the machining and / or stamping process, and the protruding portions can be used more flexible material than the material forming anvil anvil during the molding process. 在各种情况下,突出部3051和/或3151例如可包括纹理砧座表面。 In each case, the protruding portion 3051 and / or 3151, for example, may include a textured surface of an anvil. 在某些情况下,突出部3051和/或3151例如可由具有比砧座高的摩擦系数的材料构成。 In some cases, the protruding portions 3051 and / or 3151 may be for example, a material having a high coefficient of friction than that of the anvil. 此类实施方案可改善砧座与组织之间的抓持力。 Such embodiments may improve the grip force between the anvil and the organization.

[0374] 除上述以外,砧座可包括从其延伸的均匀突出部阵列。 [0374] Besides the above, an anvil can include a uniform array of protrusions extending therefrom. 在其它情况下,阵列可不为均匀的。 In other cases, the array may not be uniform. 再次参见图68,突出部3051可在纵向狭槽3325的第一侧上从砧座表面3321延伸且突出部3151可在纵向狭槽3325的第二侧上从砧座表面3321延伸。 Referring again to FIG. 68, the protrusion 3051 may extend on the first side of the longitudinal slot 3325 in the anvil 3321 and the surface of the projecting portion 3151 may extend from the anvil surface 3321 on a second side of the longitudinal slot 3325. 在各种情况下,突出部可相对于例如成形凹坑3322在远侧定位。 In each case, the protruding portions may be, for example, with respect to the forming pockets 3322 is positioned distally. 在某些情况下,突出部可散布于成形凹坑3322间。 In some cases, the protruding portions forming pockets may be dispersed in 3322. 突出部可从例如限定在最内成形凹坑3322与狭槽3325中间的表面3429a、限定在最内成形凹坑3322与中间成形凹坑3322中间的表面3429b、限定在中间成形凹坑3322与最外成形凹坑3322中间的表面3429c、和/或限定在最外成形凹坑3322与侧壁3323中间的表面3429d延伸。 Shaped protruding portion may be defined, for example, from the innermost recesses 3322 with the slot 3325 of the intermediate surface 3429a, forming pockets defining the intermediate forming pockets 3322 and 3322 in the middle of the innermost surface 3429b, forming pockets in the middle of 3322 defines the best an outer surface 3429c 3322 forming pockets in the middle of, and / or defined surface forming pockets 3322 3429d 3323 extending intermediate the outermost sidewalls.

[0375] 图98示出了砧座5920。 [0375] FIG. 98 illustrates an anvil 5920. 砧座5920可包括远侧端部5923、近侧端部5926、以及组织接合表面5921。 The anvil 5920 may include a distal end 5923, proximal end 5926, and a tissue engaging surface 5921. 砧座5920还可包括从表面5921延伸的组织接合构件,所述组织接合构件被构造成能够防止或限制组织相对于砧座5920的流动。 The anvil member 5920 may further include an engagement surface 5921 extending from the tissue, the tissue engagement flow anvil member 5920 is configured to be able to prevent or limit relative to the tissue. 在至少一种情况下,砧座5920可包括例如突出部5924'和突出部5924"。突出部5924〃可高于突出部5924'。这个高度差由尺寸5925 表示。如图98所示,突出部5924〃可相对于突出部5924'在远侧定位。在各种情况下,突出部5924〃和突出部5924'可为纵向排突出部的一部分。在一些情况下,突出部5924〃和突出部5924'可为不同纵向排突出部的一部分。在某些情况下,尽管未示出,但突出部5924'可相对于突出部5924〃在远侧定位。 In at least one case, the anvil 5920 may include, for example, the protruding portion 5924 'and the protruding portion 5924. "Projection projecting portion 5924 may be higher than 5924〃'. This is represented by the difference in height dimension 5925 As shown in FIG. 98, projections 5924〃 portion with respect to the protrusion 5924 'is positioned distally. in each case, the protruding portions and the protruding portions 5924〃 5924' may be a portion of the longitudinal rows of projecting portions. in some cases, the protruding portions and the protruding 5924〃 portion 5924 'may be part of a different longitudinal rows of projecting portions. in some cases, although not shown, the protruding portion 5924' may be positioned relative to the distal protrusion portion 5924〃.

[0376] 在各种情况下,本文所公开的砧座可包括辅助材料。 [0376] In various circumstances, the anvil disclosed herein may include an auxiliary material. 辅助材料可包含例如定位在砧座的组织接合表面上且通过从钉仓部署的钉植入到患者体内的至少一层材料。 Adjuvant materials can comprise, for example, on the surface and implanted in a patient by staples deployed from the staple cartridge positioned at least one layer of material engages the anvil tissue. 在各种情况下,所述至少一层材料可包含例如支撑材料和/或组织厚度补偿件。 In each case, the material may comprise, for example, at least one layer of support material and / or tissue thickness compensator. 所述至少一个材料层可由例如Gore SeamGuard材料、Synovis Peri-Strips材料和/或聚氨酯组成。 The at least one layer of material may be formed, for example, Gore SeamGuard material, Synovis Peri-Strips material and / or polyurethane. 公开此类层的多个参考文献已以引用方式并入。 Reference discloses a plurality of such layers has been incorporated by reference. 2013年2月28日提交的名称为"LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES"的美国专利申请序列号13/763,095 (现为美国专利申请公布2013/0161374)的全部公开内容以引用方式并入本文中。 Name February 28, 2013 entitled "LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES" US Patent Application Serial No. 13 / 763,095 (now US Patent Application Publication 2013/0161374) the entire disclosure of which is incorporated herein by reference. 2012年6月25日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR COMPRISING INCORPORATING A HEMOSTATIC AGENT"的美国专利申请序列号13/531,619(现为美国专利申请公布2012/ 0318842)、2012年6 月25 日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN OXYGEN GENERATING AGENT" 的美国专利申请序列号13/ 531,623 (现为美国专利申请公布2012/0318843)、2012年6月25日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN ANTI-MICROBIAL AGENT" 的美国专利申请序列号13/531,627 (现为美国专利申请公布2012/0312860)以及2012年6月25 日提交的名称为"TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING AN ANTI-INFLAMMATORY AGENT"的美国专利申请序列号13/531,630 (现为美国专利申请公布2012/0318844)的全部公开内容以引用方式并入本文中。 Name 2012 June 25 entitled "TISSUE STAPLER HAVING A THICKNESS COMPENSATOR COMPRISING INCORPORATING A HEMOSTATIC AGENT" US Patent Application Serial No. 13 / 531,619 (now US Patent Application Publication 2012/0318842), 2012 June 25 name submitted for "TISSUE STAPLER HAVING a THICKNESS COMPENSATOR INCORPORATING AN OXYGEN GENERATING AGENT" US Patent application serial No. 13 / 531,623 (now US Patent application publication 2012/0318843), the name of June 25, 2012 entitled "TISSUE STAPLER HAVING a THICKNESS COMPENSATOR INCORPORATING AN ANTI-MICROBIAL AGENT "US Patent application serial No. 13 / 531,627 (now US Patent application publication 2012/0312860) and the name of June 25, 2012 entitled" TISSUE STAPLER HAVING a THICKNESS COMPENSATOR iNCORPORATING AN ANTI-INFLAMMATORY AGENT "U.S. Patent application serial No. 13 / 531,630 (now U.S. Patent application Publication 2012/0318844) the entire disclosure is incorporated by reference herein. 层可由可生物吸收材料和/或不可生物吸收材料构成。 Layer material may be bioabsorbable and / or non-bioabsorbable material. 在一些情况下,材料层可附接到砧座。 In some cases, the material layer may be attached to the anvil. 在至少一种情况下,可利用至少一种粘合剂将层可释放地附着到砧座。 In at least one circumstance, utilizing at least one adhesive layer is releasably attached to the anvil. 在一些情况下,材料层可利用例如一根或多根缝合线或带可释放地附接到砧座。 In some cases, the material layer may be, for example, using one or more suture or tape is releasably attached to the anvil. 在各种情况下,层可包括从其延伸的突出部,所述突出部可延伸到限定于砧座中的成形凹坑中。 In each case, the layer may include a projection extending therefrom, the projection may extend into the anvil to define a forming pits. 突出部可被布置成与砧座中成形凹坑的阵列或图案对齐的阵列或图案。 Projecting portion may be arranged as in an array or pattern forming pockets of the anvil are aligned array or pattern. 在至少一种情况下,突出部可紧密地配合在成形凹坑内。 In at least one case, the protruding portion may be tightly fit within molded recesses. 突出部可被构造成能够限制层相对于砧座的侧向和/或纵向移动。 Projecting portion may be configured to be a lateral confinement layer of the anvil and / or longitudinal movement with respect.

[0377] 在某些情况下,层可包括固体材料片。 [0377] In some cases, the layer may comprise a sheet of solid material. 在一些情况下,层可包括限定于其中的孔。 In some cases, the layer may comprise apertures defined therein. 在至少一种这样的情况下,层可与例如砧座3320-起使用,并且可包括例如限定于其中的孔、狭缝和/或狭槽,所述孔、狭缝和/或狭槽与从砧座3320的组织接合表面3321延伸的突出部对齐。 In at least one such case, the layer may be used such as an anvil 3320- from, for example, and may comprise apertures defined therein, the slits and / or slots, said apertures, slits and / or slots and projecting portions extending from the engagement surface 3321 of the anvil 3320 is aligned tissue. 在某些情况下,孔可包括完全延伸穿过层的通孔或窗口。 In some cases, the aperture may comprise a window or through hole extending completely through the layer. 例如孔、狭缝和/或狭槽可使用例如刀片式切割构件来切割到层中。 Such as holes, slits and / or slots may be used such as blade cutting member to cut into the layer. 在一些情况下,例如孔、狭缝和/或狭槽可在例如模制层时形成。 In some cases, such as holes, slits and / or slots may be formed, for example, when the molding layer. 在某些情况下,例如孔、狭缝和/或狭槽可使用例如激光切割工艺形成在层中。 In some cases, such as holes, slits and / or slots may be formed, for example, a laser cutting process used in the layer. 在一些情况下,孔可包括限定于层中的不完全延伸穿过层的凹槽。 In some cases, it may include an aperture layer is not limited to the grooves extend completely through the layer. 在各种情况下,突出部可紧密地接收在孔内使得可防止或至少限制砧座3320与层之间的相对移动。 In each case, the protruding portion may be closely received within the bore so prevented or at least limited relative movement between the anvil 3320 and the layer. 在至少一种这样的情况下,在突出部与孔的侧壁之间可存在过盈配合。 In at least one such case, the side wall between the projecting portion of the bore there may be an interference fit.

[0378] 除上述以外,辅助层可由例如织造层和/或非织造层构成。 [0378] In addition to the above, the auxiliary layer may be, for example, a woven layer and / or nonwoven layers. 层可由例如膜构成。 Layer may be, for example, film. 在各种情况下,层可包括例如从其延伸的能够防止或至少限制组织相对于砧座的流动的纹理表面、突出部和/或突起。 In each case, the layer may comprise, for example, possible to prevent or at least limit its textured surface of the tissue relative to the flow of the anvil extending projecting portion and / or projections. 层可包括第一组区域和第二组区域,所述第一组区域由从钉仓顶出的钉接合和/或捕获在所述钉内,所述第二组区域不由所述钉接合或捕获在所述钉内。 Layer may comprise a first set of regions and the second set of regions, the region engaged by the first set of staples from the staple cartridge top and / or captured within the staples, the staples of the second set of regions engaged or not by captured within the staple. 在各种情况下,可修改第二组区域。 In each case, a second set of regions may be modified. 在至少一种情况下,层可由膜组成,并且膜的第二组区域可被修改以包括例如孔、狭缝和/或狭槽。 In at least one case, the film layer may be composed of a second set of regions and the film may be modified to include, for example, holes, slits and / or slots. 在至少一种情况下,此类层的周边可包括限定于其中的可软化层的边缘的切口。 In at least one case, the periphery of such layers may include a notch defined therein softenable layer edges. 在某些情况下,可在层中制作切口图案。 In some cases, the incision can be made in the pattern layer. 在至少一种这样的情况下,切口图案可包括例如相对于彼此以45度角延伸的切口。 In at least one such case, the cut pattern may comprise, for example, another slit extending at an angle of 45 degrees with respect to. 在一些情况下,切口的深度、宽度和/或间距可以是随意的。 In some cases, the incision depth, width and / or spacing may be arbitrary. 上述切口可使膜层更具柔性、拉伸性和/或柔顺性。 The cut film can be more flexible, tensile and / or compliance. 上述切口可制作到例如织造或非织造材料上。 The cut to be made, for example, a woven or nonwoven material. 可使用任何合适的工艺,例如藉由机械刀片系统和/或激光切割系统,来制作上述切口。 Any suitable process may be used, for example, by a mechanical blade system and / or laser cutting systems, to make the cut. 在各种情况下,可不如上文所讨论修改层的第一组区域。 In each case, it may be better to modify the first set of regions above the layer in question.

[0379] 如上文所讨论,由固体材料片构成的层可被修改成使层更具柔性、拉伸性和/或柔顺性。 [0379] As discussed above, the solid layer is made of a sheet material may be modified such that the layer more flexible, tensile and / or compliance. 层可由粘结在一起的几个材料片装配而成。 Several layers may be bonded sheet material assembled together. 在至少一种情况下,在粘结的材料片之间可存在例如孔、狭缝和/或狭槽。 In at least one case, for example, there may be holes, slits and / or slots between the bonded sheet material. 在某些情况下,可将高度非弹性的可吸收聚合物的条带焊接到较薄更柔性的膜中以在某些预期方向上提供拉伸并且限制其它方向上的拉伸。 In some cases, a highly absorbent article may be non-elastic band is welded to the thinner polymer films more flexible to provide stretch in a desired direction and to limit certain stretching in other directions. 此类条带还可用于增强膜的高应力部分,同时允许膜的其它部分保持柔软和柔顺。 Such strips may also be used to enhance the high stress portion of the film, while allowing other portions of the film remains soft and supple. 实现这种效果的一种方式将是,制作若干薄条带,所述薄条带由较硬的聚合物诸如Vicryl组成。 One way of achieving this effect would be to produce a plurality of thin strips, the thin strips of relatively rigid polymeric composition, such as Vicryl. 这些条带可为例如大约0.015〃至0.030〃宽,并且延伸例如钉成形凹坑线的整个长度。 These strips may, for example, to about 0.015〃 0.030〃 wide and extends the entire length of the pit, for example, staple forming line. 可布置六个条带以与六个纵向钉排的钉线侧向宽展对应。 It may be arranged to correspond to the six strips six longitudinal rows of staples in the staple line laterally broadened. 然后,可将薄的连续膜层焊接到这六个条带,所述膜层为例如大约〇. 003〃至0.005〃宽并且由柔软且弹性的聚合物诸如Monocryl或36/ 64PGA/PCL组成。 Then, a thin continuous film layer may be welded to the six strip, the film layer, for example, approximately square. 003〃 to 0.005〃 wide and made of a soft and resilient polymer such as Monocryl or 36 / 64PGA / PCL composition. 在一些情况下,可使用压塑模制操作。 In some cases, the operating system can use compression molding. 结果将是具有软性侧面和易于侧向而不是纵向拉伸的能力的高度增强的钉线。 The result will be highly enhanced with a soft and easy lateral side rather than the ability of the staple line longitudinally stretched. 从膜延伸的条带甚至可产生将使沿期望的方向的膜上的组织流动最小化的牵引式保持特征结构。 Grain flow strip film extends from the film strip can be produced even in the desired direction will minimize the retention of pull-type features. 在某些情况下,可修改由织造和/或非织造材料组成的层以便固化层的某些区域,诸如第一组区域。 In some cases, the layer may be modified so that some areas of the cured layer from a woven and / or nonwoven material, such as a first set of regions. 可将扁平挤出纤维织造成条带, 并且然后,通过使用制毡和/或另一基于热量的技术,可将例如第一组区域熔合在一起以将其固化。 The extruded fibers can be woven into the flat strip, and then, by using a felting and / or another heat-based technique, can be fused together, for example, a first set of regions so as to be cured. 在一些情况下,可将层的全部熔合在一起。 In some cases, all layers may be fused together.

[0380] 本文公开了包括可移除地存储在钉仓中的钉的各种实施方案,所述钉在一个或多个纵向排内为端对端布置。 [0380] Various embodiments disclosed herein include removably store staples in the staple cartridge, the staple is arranged end to end in one or more longitudinal rows. 相似地,本文公开了包括砧座的各种实施方案,所述砧座包括以对应的端对端布置方式布置的钉成形凹坑。 Similarly, various embodiments disclosed herein comprising an anvil, said anvil includes a corresponding arrangement, arranged in end-staple forming pockets. 设想到其它钉和钉成形凹坑布置,并且这些布置可适于本文所公开的实施方案。 Other contemplated staples and the staple forming pockets are arranged, and these arrangements may be adapted to the embodiments disclosed herein. 此类布置可包括或可不包括端对端布置。 Such an arrangement may or may not include arranged end to end. 2012年5月29日公布的名称为"SURGICAL STAPLING SYSTEMS AND STAPLE CARTRIDGES FOR DEPLOYING SURGICAL STAPLES WITH TISSUE COMPRESSION FEATURES" 的美国专利8,186,560的全部公开内容以引用方式并入本文。 Name May 29, 2012 published as "SURGICAL STAPLING SYSTEMS AND STAPLE CARTRIDGES FOR DEPLOYING SURGICAL STAPLES WITH TISSUE COMPRESSION FEATURES" the entire disclosure of US Patent 8,186,560 is incorporated by reference herein. 2013年2月5日公布的名称为"SURGICAL STAPLES HAVING DISSOLVABLE,BI0ABS0RBABLE OR BIOFRAGMENTABLE PORTIONS AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME"的美国专利8,365,976的全部公开内容以引用方式并入本文。 Name February 5, 2013 published as "SURGICAL STAPLES HAVING DISSOLVABLE, BI0ABS0RBABLE OR BIOFRAGMENTABLE PORTIONS AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME" US Patent 8,365,976 the entire disclosure of which is incorporated herein by reference.

[0381] 图19至图22示出了可再利用或可不再利用马达驱动型外科切割和紧固器械1010。 [0381] Figures 19 through 22 illustrate the use of motor-driven surgical cutting and fastening instrument 1010 may be reusable or not. 在示出的实施方案中,器械1010包括外壳1012,所述外壳包括被构造成能够被临床医生抓握、操纵和致动的柄部1014。 In the illustrated embodiment, the instrument 1010 includes a housing 1012, includes a housing configured to be grasped by a clinician manipulating the handle portion 1014 and actuated. 外壳1012被构造用于可操作地附接至可互换轴组件1200,该可互换轴组件具有与其可操作地联接的被构造成能够执行一个或多个外科任务或手术的外科端部执行器1300。 Housing 1012 is configured to operably attached to the interchangeable shaft assembly 1200, the interchangeable shaft assembly having one or more surgical tasks or surgical procedure can be performed end operatively coupled thereto configured to perform 1300. 继续参阅本具体实施方式,应当理解,本文公开的各种形式的可互换轴组件的各种独特且新型的结构也可以有效地与机器人控制的外科系统一起使用。 Continuing to refer to this specific embodiment, it should be understood that various interchangeable shaft assembly disclosed herein, the various forms of novel and unique structure can be effectively used with a surgical robot control system. 因此,术语"外壳"也可以涵盖机器人系统的容纳或换言之可操作地支撑至少一个驱动系统的外壳或类似部分,其中所述至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的可互换轴组件及其相应的等同物的至少一种控制运动。 Thus, the term "shell" may also encompass other words, the robot system is operable to receive or support casing or the like of the at least one drive system, wherein the at least one drive system is configured to be capable of generating and applying the herein disclosed for actuating controlling the movement of at least one interchangeable shaft assembly and their respective equivalents. 术语"框架"可指手持式外科器械的一部分。 The term "frame" may refer to a portion of the handheld surgical instrument. 术语"框架"还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于可操作地控制外科器械的一部分。 The term "frame" may also mean part and / or robotic surgical instrument system may be used to control the robot operable to control a portion of the surgical instrument. 例如,本文所公开的可互换轴组件可与在名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" 的美国专利申请序列号13/118,241 (现为美国专利申请公布US 2012/0298719)中公开的各种机器人系统、器械、部件以及方法一起使用。 For example, the interchangeable shaft assembly disclosed herein can be used with the name of "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication US 2012/0298719) disclosed in used with a variety of robotic systems, devices, components and methods. 名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布US 2012/0298719)全文以引用方式并入本文。 The name "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" US Patent Application Serial No. 13 / 118,241 (now US Patent Application Publication No. US 2012/0298719) is incorporated by reference herein.

[0382] 图19至图21中所示的外壳1012被示出与包括端部执行器1300的可互换轴组件1200连接,所述端部执行器包括被构造成能够可操作地将外科钉仓1304支撑于其中的外科切割和紧固装置。 [0382] FIG. 19 to the housing shown in FIG. 21 1200 and 1012 is shown connected to an interchangeable shaft assembly comprising an end effector 1300, the end effector includes is configured to be operable to surgical staples cartridge 1304 supported therein surgical cutting and fastening device. 外壳1012可被构造用于与包括端部执行器的可互换轴组件连接,所述端部执行器适于支撑不同尺寸和类型的钉仓,具有不同轴长度、尺寸和类型,等等。 Housing 1012 may be configured for connection with interchangeable shaft assembly includes an end effector, the end effector adapted to support different sizes and types of staple cartridge having a different axial length, size and type, etc. . 此外,外壳1012还可有效地与各种其它可互换轴组件一起使用,所述其它可互换轴组件包括被构造成能够向适于与各种外科应用和手术结合使用的端部执行器布置施加其它运动和能量形式储如射频(RF)能量、超声能量和/或运动)的那些组件。 In addition, the housing 1012 may also be effectively used in conjunction with various other interchangeable shaft assembly, said other interchangeable shaft assembly is configured to be capable of comprising in combination with a variety of surgical applications and procedures adapted to the end effector other forms of energy and movement arrangement, such as those reservoir component radio frequency (RF) energy, ultrasound energy and / or motion) is applied. 此外,端部执行器、轴组件、柄部、外科器械和/或外科器械系统可以利用任何合适的一个或多个紧固件以紧固组织。 In addition, the end effector, a shaft assembly, a handle, a surgical instrument and / or surgical instrument system may utilize any one or more fasteners suitable to fasten tissue. 例如,包括可移除地存储在其中的多个紧固件的紧固件仓可以可移除地插入和/或附接到轴组件的端部执行器。 For example, including removably storing therein a plurality of fasteners in the fastener cartridge may be removably inserted and / or assembly attached to the shaft end.

[0383] 图19示出了具有与其可操作地联接的可互换轴组件1200的外科器械1010。 [0383] FIG. 19 shows a surgical instrument having interchangeable shaft assembly 1010 is operably coupled thereto 1200. 图20和图21示出了可互换轴组件1200到外壳1012或柄部1014的附接。 Figures 20 and 21 illustrate interchangeable shaft assembly 1200 to the housing 1012 or 1014 is attached to the handle. 如图21中可见,柄部1014可包括一对可互连柄部外壳段1016和1018,这对可互连柄部外壳段可通过螺钉、按扣特征结构、粘合剂等互连。 21. As can be seen, the handle portion 1014 may include a pair of interconnectable housing segment 1016 and the handle 1018, which handle housing segments may be interconnected by interconnecting screws, snap features, adhesive or the like. 在所示布置中,柄部外壳段1016,1018配合以形成可被临床医生抓握和操纵的手枪式握把部1019。 In the arrangement shown, the handle housing segment 1016 cooperate to form the pistol grip portion 1019 may be grasped and manipulated by the clinician. 如将在下文进一步详细地讨论,柄部1014可操作地支撑其中的多个驱动系统,所述驱动系统被构造成能够生成各种控制运动并将所述控制运动施加到与其可操作地附接的可互换轴组件的相应部分。 As will be discussed in further detail below, the handle portion 1014 operably supports a drive system wherein a plurality of the drive system is configured to be able to generate various control and motion control of the motion to operably attached thereto corresponding portions of the interchangeable shaft assembly.

[0384] 现在参见图21,柄部1014还可包括可操作地支撑多个驱动系统的框架1020。 [0384] Referring now to FIG. 21, the handle portion 1014 may further include a frame 1020 operably supports a plurality of drive systems. 例如, 框架1020可以可操作地支撑通常表示为1030的"第一"或闭合驱动系统,可采用该"第一"或闭合驱动系统以将闭合和打开运动施加至与其可操作地附接或联接的可互换轴组件1200。 For example, the frame 1020 may operably support 1030 is typically expressed as "first" or closure drive system, using the "first" or the closure drive system for the opening and closing motion applied thereto to operably attached or coupled interchangeable shaft assembly 1200. 在至少一种形式中,闭合驱动系统1030可包括被框架1020枢转地支撑的闭合触发器1032形式的致动器。 In at least one form, the closure drive system 1030 may include a frame 1020 pivotally supports the closure trigger 1032 to form an actuator. 更具体地,如图21所示,闭合触发器1032经由销1033可枢转地联接到外壳1014。 More specifically, as shown in Figure 21, the closure trigger 1032 is pivotally coupled to the housing 1014 via a pin 1033. 此类布置使闭合触发器1032能够被临床医生操纵,使得当临床医生抓握柄部1014的手枪式握把部1019时,闭合触发器1032可轻松地从起始或"未致动"位置枢转到"致动"位置,并且更具体地讲,枢转到完全压缩或完全致动的位置。 Such arrangement enables the closure trigger 1032 can be manipulated clinicians, so that when the pistol grip portion clinician grips the grip portion 1014 of 1019, the closure trigger 1032 may be easily pivoted from a starting or "unactuated" position go "actuated" position, and, more specifically, pivoted or fully compressed position fully actuated. 闭合触发器1032可被弹簧或其它偏置结构(未示出)偏置到未致动位置。 The closure trigger 1032 may be a spring or other biasing structure (not shown) biased to the unactuated position. 在各种形式中,闭合驱动系统1030还包括可枢转地联接到闭合触发器1032的闭合连杆组件1034。 In various forms, the closure further comprising a drive system 1030 is pivotally coupled to the closure linkage assembly 1032 of the closure trigger 1034. 同样如图21中可见,闭合连杆组件1034可包括第一闭合连杆1036和第二闭合连杆1038,该第一闭合连杆和该第二闭合连杆经由销1035 枢转地联接至闭合触发器1032。 Also seen in FIG. 21, the closure linkage assembly 1034 may comprise a first closure link 1036 and a second closure link 1038, the first closing link and the second link to the closed via a closing pin 1035 pivotally coupled trigger 1032. 第二闭合连杆1038在本文中也可被称为"附接构件"并且包括横向附接销1037。 The second closure link 1038 may also be herein referred to as "attachment member" and includes a transverse pin 1037 attached.

[0385] 仍参见图21,可以观察到第一闭合连杆1036可具有位于其上的锁定壁或端1039, 该锁定壁或端被构造成能够与可枢转地联接到框架1020的闭合释放组件1060配合。 [0385] Referring still to FIG. 21, it can be observed and can be coupled pivotably to the closure release closure link 1036 may have a first lock positioned on the wall or the end of 1039, or the end wall of the locking frame 1020 is configured to components with 1060. 在至少一种形式中,闭合释放组件1060可以包括具有在其上形成的朝远侧突起的锁定棘爪1064的释放按钮组件1062。 In at least one form, the closure may include a release assembly 1060 distally in which a locking projection formed on the pawl release button assembly 1064 1062. 释放按钮组件1062可以被释放弹簧(未示出)沿逆时针方向枢转。 Release button assembly 1062 may be a release spring (not shown) is pivoted counterclockwise. 当临床医生将闭合触发器1032从其未致动位置朝柄部1014的手枪式握把部1019按压时,第一闭合连杆1036向上枢转到其中锁定棘爪1064落下成与第一闭合连杆1036上的锁定壁1039保持接合从而防止闭合触发器1032回到未致动位置的点。 When the closure trigger 1032 clinician its unactuated position toward the handle portion 1014 when the pistol grip portion 1019 is pressed, the first closure link 1036 to pivot upward wherein the locking pawl 1064 is connected falls into the first closed the locking lever 10361039 wall remains engaged to prevent the closure trigger 1032 back to the unactuated position of the point. 因此,闭合释放组件1060有助于将闭合触发器1032锁定在完全致动位置。 Thus, the closure release assembly 1060 helps to lock the closure trigger 1032 in the fully actuated position. 当临床医生希望将闭合触发器1032解锁以允许其被偏置到未致动位置时,临床医生简单地枢转闭合释放按钮组件1062,使得锁定棘爪1064被移动至与第一闭合连杆1036上的锁定壁1039脱离接合。 When the clinician desires to unlock the closure trigger 1032 to permit it to be biased to the unactuated actuated position, the clinician simply pivots the closure release button assembly 1062, such that the lock pawl 1064 is moved to the first closing link 1036 locking wall 1039 in the disengaged. 当锁定棘爪1064已被移动至与第一闭合连杆1036脱离接合时,闭合触发器1032可枢转回到未致动位置。 When the locking pawl 1064 has been moved to the out of engagement with the first closure link 1036, the closure trigger 1032 may pivot back to the unactuated position. 也可采用其它闭合触发器锁定和释放布置。 It may take other closure trigger locking and release arrangement.

[0386] 臂1061可从闭合释放按钮1062延伸。 [0386] arms 1061 may extend from the closure release button 1062. 可将磁性元件1063诸如永磁体安装到臂1061。 Permanent magnets, such as magnetic element 1063 may be mounted to the arm 1061. 当闭合释放按钮1062从其第一位置旋转至其第二位置时,磁性元件1063可朝电路板1100移动。 When the rotation of the closure release button 1062 from its first position to its second position, the magnetic element 1063 may be moved toward the circuit board 1100. 电路板1100可包括被构造成能够检测磁性元件1063的移动的至少一个传感器。 1100 may include a circuit board configured to be capable of detecting the movement of the magnetic element of the at least one sensor 1063. 在至少一个实施方案中,例如可将"霍耳效应"传感器(未示出)安装到电路板1100的底部表面。 In at least one embodiment, for example, the "Hall effect" sensors (not shown) mounted to the bottom surface of the circuit board 1100. 霍耳效应传感器可被构造成能够检测霍耳效应传感器周围的由磁性元件1063移动导致的磁场变化。 Hall effect sensors may be configured to be able to detect changes in the magnetic field of a magnetic element surrounding the Hall Effect sensor 1063 due to movement. 霍耳效应传感器可与例如微控制器进行信号通信,该微控制器可确定闭合释放按钮1062是否处于其第一位置,该微控制器与闭合触发器1032以及端部执行器的打开构型的未致动位置(其第二位置)、与闭合触发器1032以及端部执行器的闭合构型的致动位置、以及/或者与第一位置和第二位置之间的任何位置相关联。 Hall effect sensors may be in signal communication with the microcontroller, for example, the microcontroller may determine whether the closure release button 1062 is in its first position, the closure trigger 1032 microcontroller and an end effector of the open configuration unactuated position (a second position), between the closure trigger 1032 and the end effector closed configuration actuated position, and / or the first and second positions associated with any position.

[0387] 在至少一种形式中,柄部1014和框架1020能够可操作地支撑在本文中被称为击发驱动系统1080的另一个驱动系统,该驱动系统被构造成能够将击发运动施加于可互换轴组件的附接至其的相应部分。 [0387] In at least one form, the handle portion 1014 and the frame 1020 can be configured to operably support a firing motion is applied is referred to herein as firing drive system 1080 further drive system, the drive system is configured to be attached interchangeable shaft assembly connected to the corresponding portion thereof. 击发驱动系统1080在本文中也可称作"第二驱动系统"。 Firing drive system 1080 may also be referred to herein as a "second drive system." 击发驱动系统1080可以采用位于柄部1014的手枪式握把部1019中的电动马达1082。 Firing drive system 1080 may be positioned using the handle 1014 of the electric pistol grip portion 1019 of the motor 1082. 在各种形式中,马达1082可为例如具有大约25,000RPM的最大转速的直流有刷驱动马达。 In various forms, the motor 1082 may have, for example, a DC brushed driving motor having a maximum rotation of approximately 25,000RPM. 在其它布置中,马达可包括无刷马达、无绳马达、同步马达、步进马达或任何其它合适的电动马达。 In other arrangements, the motor may include a brushless motor, a cordless motor, a synchronous motor, stepper motor, or any other suitable electric motor. 马达1082可由在一种形式中可包括可移除电源组1092的电源1090供电。 Power supply 1090 by the motor 1082 in one form may include a removable power pack 1092. 如图21中可见,例如,电源组1092可包括被构造用于附接至远侧外壳部分1096的近侧外壳部分1094。 21. As can be seen, for example, the power pack 1092 can include a proximal housing portion 1094 is configured for attachment to a distal portion 1096 of the housing. 近侧外壳部分1094和远侧外壳部分1096被构造成能够可操作地将多个电池1098支撑于其中。 A proximal housing portion 1094 and a distal housing portion 1096 is configured to be operable to support a plurality of battery 1098 therein. 电池1098可各自包括例如锂离子("LI")或其它合适电池。 Battery 1098 may each comprise, for example, a lithium ion ( "LI"), or other suitable battery. 远侧外壳部分1096被构造用于以可移除方式可操作地附接至同样可操作地联接至马达1082的电路板组件1100。 The distal housing portion 1096 is configured to be removably operably attached to the same circuit board assembly operatively coupled to the motor 1082 1100. 可使用可串联连接的多个电池1098作为外科器械1010的电源。 A plurality of cells may be connected in series as a power source 1098 of the surgical instrument 1010. 此外,电源1090可为可更换的和/或可充电的。 Further, the power supply 1090 may be replaceable and / or rechargeable.

[0388] 如上面相对于其它各种形式所概述,电动马达1082可包括可操作地与齿轮减速器组件1084交接的可旋转轴(未示出),所述齿轮减速器组件与一组或齿条的驱动齿1122啮合安装在可纵向移动的驱动构件1120上。 [0388] As outlined above with respect to other forms, the electric motor 1082 may include a rotatable shaft operatively associated with the (not shown) of the transfer gear reducer assembly 1084, the gear reducer assembly or a rack with a set 1122 engages drive teeth on the drive member 1120 is mounted longitudinally movable. 在使用中,电源1090所提供的电压极性可沿顺时针方向操作电动马达1082,其中由电池施加到电动马达的电压极性可被反向,以便沿逆时针方向操作电动马达1082。 In use, the polarity of the voltage supply 1090 provides an electric motor 1082 may operate in a clockwise direction, wherein the polarity of voltage applied from the battery to the electric motor can be reversed, so that operation of the electric motor 1082 in a counterclockwise direction. 当电动马达1082沿一个方向旋转时,驱动构件1120将沿远侧方向"DD"被轴向地驱动。 When the rotation of the electric motor 1082 in one direction, the drive member 1120 "DD" is driven axially in the distal direction. 当马达82被沿相反的旋转方向驱动时,驱动构件1120将沿近侧方向"PD"被轴向地驱动。 When the motor 82 is driven in the opposite rotational direction, the drive member 1120 "PD" is driven axially in the proximal direction. 柄部1014可包括开关,所述开关可被构造成能够使由电源1090施加到电动马达1082的极性反向。 Handle 1014 may include a switch, the switch may be configured to enable the power applied by the electric motor 1090 to 1082 of the polarity inversion. 与本文所述的其它形式一样,柄部1014还可包括传感器,该传感器被构造成能够检测驱动构件1120的位置和/或其中驱动构件1120移动的方向。 Other forms as described herein, the handle portion 1014 may further include a sensor configured to be able to detect the position of member 1120 and / or the direction in which the driving member 1120 to move.

[0389] 马达1082的致动可通过被可枢转地支撑在柄部1014上的击发触发器1130进行控制。 [0389] The actuation of the motor 1082 can be pivotably supported on the handle portion 1014 of the firing trigger 1130 is controlled. 击发触发器1130可在未致动位置和致动位置之间枢转。 The firing trigger 1130 may unactuated position and an actuated position pivoted between. 击发触发器1130可被弹簧1132 或其它偏置结构偏置到未致动位置,使得当临床医生释放击发触发器1130时,其可被弹簧1132或偏置结构枢转到或以其它方式返回未致动位置。 The firing trigger 1130 may be a spring 1132 or other biasing structure biased to the unactuated position, so that when the clinician releases the firing trigger 1130, 1132 which may be a spring or biasing structure to pivot or otherwise not returned actuated position. 在至少一种形式中,击发触发器1130可以定位在闭合触发器132"外侧",如上文所讨论。 In at least one form, the firing trigger 1130 in the closure trigger 132 may be positioned "outside", as discussed above. 在至少一种形式中,击发触发器安全按钮1134可经由销1035枢转地安装到闭合触发器1032。 In at least one form, the firing trigger safety button 1134 may be mounted to the closure trigger 1032 via pin 1035 pivotally. 安全按钮1134可定位在击发触发器1130和闭合触发器1032之间,并且具有从其突起的枢转臂1136。 The safety button 1134 may be positioned between the closure trigger the firing trigger 1130 and 1032, and having a pivot arm 1136 protruding therefrom. 参见图21。 See Figure 21. 当闭合触发器1032处于未致动位置时,安全按钮1134被容纳在柄部1014中,此时临床医生可能无法轻易地触及所述按钮并使其在防止对击发触发器1130致动的安全位置与其中击发触发器1130 可被击发的击发位置之间移动。 When the closure trigger 1032 is in the unactuated position, the safety button 1134 is accommodated in the handle portion 1014, the clinician can not readily access the button and secure it in position to prevent actuation of the firing trigger 1130 and wherein movement between the firing trigger 1130 may be fired in a firing position. 当临床医生按压闭合触发器1032时,安全按钮1134和击发触发器1130向下枢转,其中它们随后可被临床医生操纵。 When the clinician presses the closure trigger 1032, the safety button 1134 and the firing trigger 1130 is pivoted downward, where they can then be manipulated clinician.

[0390] 如上所述,在至少一种形式中,可纵向移动的驱动构件1120具有在其上形成的齿条的齿1122,用于与齿轮减速器组件1084的相应驱动齿轮1086啮合。 [0390] As described above, in at least one form, the longitudinally movable drive member 1120 having teeth 1122 formed thereon a rack, for engagement with a respective gear reducer drive gear assembly 1084 1086. 至少一种形式还包括可手动致动的"救助"组件1140,该组件被构造成能够使临床医生在马达1082失能的情况下能够手动地缩回可纵向移动的驱动构件1120。 Further comprising at least one form of a manually actuated "rescue" assembly 1140, the assembly is configured to enable the clinician in the case where the motor 1082 can be disabled manually retract the longitudinally movable drive member 1120. 救助组件1140可以包括能够被手动地枢转成与也设置在驱动构件1120中的齿1124棘齿接合的杠杆或救助柄部组件1142。 Assistance assembly 1140 may include a lever that can be manually transferred into a pivot and also the driving member 1120 engages the teeth 1124 of the ratchet handle assembly 1142 or rescue. 因此,临床医生可以通过使用救助柄部组件1142而手动地缩回驱动构件1120,以使驱动构件1120沿近侧方向"PD"啮合。 Thus, by using the clinician may aid the handle assembly 1142 is manually retracting driving member 1120, so that the drive member 1120 "PD" engaged in the proximal direction. 美国专利申请公布US2010/0089970 (现为美国专利8,608,045)公开了救助结构和还可以与本文所公开的各种器械一起使用的其它部件、结构和系统。 U.S. Patent Application Publication US2010 / 0089970 (now U.S. Patent No. 8,608,045) discloses a relief structures, and other components may also be used with the various devices disclosed herein, structures and systems. 名称为"POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM"的美国专利申请序列号12/249,117 (现为美国专利8,608,045)全文据此以引用方式并入。 Entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM" U.S. Patent Application Serial No. 12 / 249,117 (now U.S. Patent 8,608,045) hereby incorporated by reference.

[0391] 现在转到图20和图22,可互换轴组件1200包括外科端部执行器1300,该外科端部执行器包括被构造成能够可操作地将钉仓1304支撑于其中的细长通道1302。 [0391] Turning now to FIG. 20 and FIG. 22, the interchangeable shaft assembly 1200 includes a surgical end effector 1300, which includes a surgical end effector is operably configured to staple cartridge 1304 supported therein in an elongated channel 1302. 端部执行器1300还可包括砧座1306,该砧座相对于细长通道1302枢转地支撑。 An end effector 1300 further includes an anvil 1306, the anvil 1302 relative to the elongate channel pivotally supported. 可互换轴组件1200还可包括关节运动接头1270和能够使端部执行器1300相对于轴心线SA-SA可释放地保持在期望的位置的关节运动锁。 Interchangeable shaft assembly 1200 may further include an articulation joint 1270 and to move the end effector 1300 relative to the axis of articulation lock SA-SA releasably retained in a desired position. 有关端部执彳丁器1300、关节运动接头1270和关节运动锁的构造和操作的细节在提交于2013年3月14日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086中有所阐述。 About the end effector left foot Ding 1300, the details of construction and operation of the articulation joint 1270 and articulation lock in the Name filed March 14, 2013 Application Serial No. "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" US Pat. 13 / 803,086 has been elaborated. 提交于2013年3 月14 日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTI⑶LATION LOCK"的美国专利申请序列号13/803,086的全部公开内容据此以引用方式并入本文。 Name filed March 14, 2013 for "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTI⑶LATION LOCK" US Patent Application Serial Number entire disclosure of 13 / 803,086 is hereby incorporated by reference herein. 如在图22中可见,可互换轴组件1200还可包括由喷嘴部分1202和1203组成的近侧外壳或喷嘴1201。 As seen in Figure 22, an interchangeable shaft assembly 1200 may further include a proximal housing portion by the nozzle or nozzles 1201 1202 and 1203 thereof. 可互换轴组件1200还可包括闭合管1260,所述闭合管可用于关闭和/或打开端部执行器1300的砧座1306。 Interchangeable shaft assembly 1200 may further include a closure tube 1260 of the closure tube can be used to close and / or open end 1300 of the anvil 1306. 轴组件1200可包括脊柱1210,所述脊柱能够(一)在其中可滑动地支撑击发构件,和(二)可滑动地支撑围绕脊柱210延伸的闭合管1260。 The shaft assembly 1200 may include a spine 1210, the spine can be (a) in which the support member is slidably firing, and (ii) may be slidably supported about the closure tube 1260 extending spine 210. 脊柱210还可被构造成能够可滑动地支撑近侧关节运动驱动器。 Spine 210 may also be configured to slidably support a proximal articulation drive. 关节运动驱动器具有被构造成能够可操作地接合关节运动锁的远侧端部。 Articulation driver having a distal end portion is configured to be operably engaged with articulation lock. 关节运动锁与关节运动框架交接,该关节运动框架适于可操作地接合端部执行器框架上的驱动销。 Articulation and articulation lock frame transfer, the driving pin on the end effector frame of the articulated frame adapted to operatively engage. 如上文所指出,有关关节运动锁和关节运动框架的操作的其它细节可见于美国专利申请序列号13/803,086。 As noted above, additional details regarding the articulation and the articulation of the frame lock operation can be found in U.S. Patent Application Serial No. 13 / 803,086. 在各种情况下,脊柱1210 可包括可旋转地支撑在底盘1240中的近侧端部1211。 In each case, the spine 1210 may include a proximal end portion 1211 is rotatably supported in the chassis 1240. 在例如一个布置中,脊柱1210的近侧端部1211具有形成于其上的用于通过螺纹附接至脊柱轴承1216的螺纹1214,所述脊柱轴承被构造成能够支撑在底盘1240内。 In one arrangement, for example, proximal end 1210 of the spine 1211 has formed thereon for threadedly attached to the spine of the bearing threads 12,141,216, bearing a spine configured to be supported within the chassis 1240. 参见图22。 See Figure 22. 此类布置促进了脊柱1210可旋转地附接至底盘1240,使得脊柱1210可相对于底盘1240围绕轴心线SA可选择地旋转。 Such an arrangement facilitates the spine 1210 may be rotatably attached to the chassis 1240, so that the spine relative to the chassis 1210 1240 selectively rotated about the axis SA.

[0392] 主要参见图22,可互换轴组件1200包括闭合梭动件1250,该梭动件可滑动地支撑在底盘1240内使得其可相对于该底盘轴向地移动。 [0392] Referring primarily to FIG. 22, the interchangeable shaft assembly 1200 includes a member 1250 closure shuttle, the shuttle member is slidably supported such that it can move axially with respect to the chassis in the chassis 1240. 闭合梭动件1250包括一对朝近侧突出的钩1252,所述钩被构造用于附接至附接销1037 (图20和图21),所述附接销附接至第二闭合连杆1038,如下文将进一步详细讨论。 Closure shuttle member 1250 includes a pair of proximally projecting hook 1252, the second closure hook is connected configured for attachment to an attachment pin 1037 (FIG. 20 and FIG. 21), the pin is attached to the attachment 1038 bar, as will be discussed in further detail. 闭合管1260的近侧端部1261联接到闭合梭动件1250 以相对于其旋转。 The proximal end portion 1261 of the closure tube 1260 is coupled to the closure member 1250 shuttle rotation relative thereto. 例如,U形连接器1263插入闭合管1260的近侧端部1261中的环形狭槽1262 并且保持在闭合梭动件1250中的竖直狭槽1253内。 For example, U-shaped connector closure tube 1263 is inserted into an annular slot proximal end 12,611,260 in 1262 and kept in a closed shuttle member 1250 in the vertical slot 1253. 此类布置用于将闭合管1260附接至相对于闭合梭动件1250围绕轴心线SA旋转。 Such an arrangement for the closure tube 1260 is attached to the shuttle relative to the closure member 1250 to rotate about the axis SA. 闭合梭动件1250以与其轴向行进,同时使闭合管1260能够闭合弹簧1268轴颈连接在闭合管1260上并用于在近侧方向"PD"上偏置闭合管1260,这可用于在轴组件可操作地联接到柄部1014时将闭合触发器枢转到未致动位置中。 Closure shuttle 1250 travels axially therewith while the closure tube 1260 can be closed in the spring 1268 journaled for closure tube 1260 and the proximal direction "PD" biased closure tube 1260, which can be used in the shaft assembly a handle portion operatively coupled to the closure trigger pivot to the unactuated position 1014.

[0393] 在至少一种形式中,可互换轴组件1200还可包括关节运动接头1270。 [0393] In at least one form, the interchangeable shaft assembly 1200 may further include an articulation joint 1270. 然而,其它可互换轴组件可能无法进行关节运动。 However, other components may not be interchangeable shaft articulation. 如可在图22中所见,例如,关节运动接头1270包括双枢轴闭合套管组件1271。 As can be seen in FIG. 22, for example, the articulation joint 1270 comprises a double pivot closure sleeve assembly 1271. 根据各种形式,双枢轴闭合套管组件1271包括具有朝远侧突出的上柄脚1273和下柄脚1274的端部执行器闭合套管组件1272。 According to various forms, the double pivot closure sleeve assembly 1271 includes a distally projecting tang and a lower tang 1273 end 1274 of the closure sleeve assembly 1272. 端部执行器闭合套管组件1272包括马蹄形孔1275和插片1276以用于以提交于2013年3月14日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" 的美国专利申请序列号13/ 803,086中所述的各种方式接合砧座1306上的打开插片,所述美国专利申请已以引用方式并入本文。 An end effector closure sleeve assembly 1272 includes a horseshoe aperture 1275 and U.S. Patent No. tab 1276 for the name filed on March 14, 2013 for "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" Application Serial No. 13 / 803,086 the various ways in open engagement tab 1306 on the anvil, the U.S. patent applications is incorporated herein by reference. 如本文中进一步详细地描述,当砧座1306打开时,马蹄形孔1275和插片1276接合砧座上的插片。 As described in further detail herein, when the anvil 1306 is opened, a horseshoe aperture 1275 and tabs 1276 engage anvil tab. 上部双枢轴连杆1277包括向上突出的远侧和近侧枢轴销,所述枢轴销分别接合闭合管1260上的朝近侧突出的上柄脚1273中的上部远侧销孔以及朝远侧突出的上柄脚1264中的上部近侧销孔。 An upper double pivot link 1277 includes upwardly projecting distal and proximal pivot pin, the pivot pin are joined closing the upper distal pin hole in the tube 1260 proximally projecting tang and 1273 towards an upper proximal pin hole 1264 distally projecting tang in. 下部双枢轴连杆1278包括向上突出的远侧和近侧枢轴销,所述枢轴销分别接合朝近侧突出的下柄脚1274中的下部远侧销孔以及朝远侧突出的下柄脚1265中的下部近侧销孔。 A lower double pivot link 1278 includes upwardly projecting distal and proximal pivot pin, said pivot pin engage respectively a lower distal pin hole in the lower proximally projecting tang and 1274 in the lower distally projecting the lower proximal pin hole in the tang 1265. 还参见图22。 See also FIG. 22.

[0394] 在使用中,闭合管1260朝远侧(方向"DD")平移,以便(例如)响应于闭合触发器1032的致动而将砧座1306闭合。 [0394] In use, the distal closure tube 1260 (direction "DD") translated to (e.g.) in response to actuation of the closure trigger 1032 and the anvil 1306 is closed. 砧座1306通过朝远侧平移闭合管1260而闭合,并且因此,轴闭合套管组件1272导致其以前述引用的美国专利申请序列号13/803,086中所述的方式冲击砧座1360上的近侧表面。 Anvil 1306 distally by translating the closure tube 1260 is closed, and therefore, cause the shaft closure sleeve assembly 1272 which is the U.S. Patent Application referenced in the manner described Serial No. 13 / 803,086 impact on the proximal anvil 1360 surface. 还如该参考文献中所详述,砧座1306通过朝近侧平移闭合管1260和轴闭合套管组件1272而打开,导致插片1276和马蹄形孔1275接触并推挤砧座插片以提升站座1306。 As also described in detail in this reference, the anvil 1306 by proximally translating the shaft closure tube 1260 and the closure sleeve assembly 1272 is opened, causing tab 1276 and the horseshoe aperture 1275 to contact and push against the anvil plate to lift station Block 1306. 在站座打开位置,轴闭合管1260被移至其近侧位置。 Base station in an open position, the closure tube shaft 1260 is moved to its proximal position.

[0395] 还如上所述,可互换轴组件1200还包括被支撑用于在轴脊柱1210内轴向行进的击发构件。 [0395] Also as described above, the interchangeable shaft assembly 1200 further includes a firing member 1210 is supported within the shaft for axial travel of the spine. 击发构件包括被构造用于附接到远侧切割部分或刀杆的中间击发轴部分1222。 It comprises an intermediate firing member configured for attachment to the distal cutting portion or arbor firing shaft portion 1222. 中间击发轴部分1222可在其远侧端部包括可被构造成能够接收位于远侧刀杆近侧端部上的插片的纵向狭槽。 The intermediate firing shaft portion 1222 may comprise a distal end thereof configured to be located in a longitudinal slot receiving the tab on the distal end of the proximal portion of the arbor. 纵向狭槽和近侧端部的尺寸和构造可被设定成允许其间的相对运动,并且可包括滑动接头。 Sized and configured and the longitudinal slot proximal end may be set to allow relative movement therebetween, and may include a slip joint. 滑动接头可允许击发驱动器的中间击发轴部分1222被移动至使端部执行器1300进行关节运动,而无需移动或至少大体移动刀杆。 The slip joint may allow the firing drive of the intermediate firing shaft portion 1222 is moved to the end effector 1300 is articulated movement, or at least substantially without moving the moving arbor. 一旦端部执行器1300已合适地取向,中间击发轴部分1222便可朝远侧推进,直到纵向狭槽的近侧侧壁与插片发生接触,以便推进刀杆并击发定位在通道1302内的钉仓。 Once end effector 1300 has been suitably oriented, the intermediate firing shaft portion 1222 can be advanced distally until proximal sidewall longitudinal slot and tab contact occurs, in order to advance knife bar and firing positioned within the channel 1302 the staple cartridge. 击发构件的操作的进一步描述可见于美国专利申请序列号13/803,086。 Further description of the operation of the firing member can be found in U.S. Patent Application Serial No. 13 / 803,086.

[0396] 如在图22中可见,轴组件1200还包括可旋转地接收在闭合管1260上的开关鼓1500。 [0396] As seen in Figure 22, the shaft assembly 1200 further includes a drum rotatably receive switch 1260 on the closure tube 1500. 开关鼓1500包括空心轴段1502,该空心轴段具有形成于其上的轴凸出部,该轴凸出部用于将向外突出的致动销接收于其中。 Switch 1500 includes a hollow drum shaft segment 1502, the hollow shaft has a shaft section projecting portion formed thereon, the shaft protruding outwardly projecting portion for receiving the actuating pin therein. 在各种情况下,致动销延伸穿过提供于锁套中的纵向狭槽以当锁套与关节运动驱动器接合时促进锁套的轴向移动。 In each case, the actuating pin extends through a longitudinal slot provided in the sleeve to lock when the locking sleeve engagement with the articulation drive facilitate axial movement of the locking sleeve. 旋转扭转弹簧1420被构造成能够接合开关鼓1500上的凸出部以及喷嘴外壳1203的一部分以将偏置力施加至开关鼓1500。 Rotation of the torsion spring 1420 is configured to engage the switching drum 1500 and a nozzle housing portion of the projecting portion 1203 to apply a biasing force to the drum 1500 switch. 开关鼓1500还可包括限定于其中的至少部分周边开口1506,这些开口可被构造成能够接收从喷嘴半块1202、1203延伸的周边安装座,并且允许开关鼓1500和近侧喷嘴1201之间的相对旋转而不是相对平移。 Switch 1500 may further include a drum therein at least partially defining a periphery of the opening 1506, the openings may be configured to be able to receive the periphery of the nozzle mount extending from halves 1202, 1203, 1500 and the drum and allows the switch 1201 between the proximal nozzle relative rotation, but not translation. 安装座还延伸穿过闭合管1260中的开口1266以安置在轴脊柱1210中的凹槽中。 Mount groove 1266 is disposed in the shaft spine 1210 to further extend through the openings in the closure tube 1260. 然而,喷嘴1201至安装座到达其在开关鼓1500中的相应狭槽1506的端部的点的旋转将导致开关鼓1500围绕轴心线SA的旋转。 However, the nozzle mount 1201 to rotate it reaches the end point of the respective drum slots in the switch 1500 causes the switch 1506 to 1500 around the rotation axis of the drum SA. 开关鼓1500的旋转将最终导致致动销和锁套在其接合位置与脱离位置之间旋转。 The drum rotary switch 1500 will eventually lead to the actuating sleeve and the lock pin between its engaged position and a disengaged position of the rotation. 因此,大体上,喷嘴1201可用于以提交于2014 年3月26日的名称为"SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM"的美国专利申请序列号13/803,086和美国专利申请序列号14/226,142中进一步详述的各种方式可操作地将关节运动驱动系统与击发驱动系统接合和脱离,所述美国专利申请各自的全部公开内容据此以引用方式并入本文。 Thus, in general, the nozzle 1201 may be used to name filed on March 26, 2014 for "SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM" U.S. Patent Application Serial No. 13 / 803,086 and U.S. Patent Application Serial No. 14 / 226,142 for further details described in various ways operably articulation drive system engage and disengage the firing drive system, the U.S. Patent application entire disclosure of each is hereby incorporated by reference herein.

[0397] 同样如图22所示,轴组件1200可包括滑环组件1600,该滑环组件可被构造成能够例如将电力传导至端部执行器1300和/或从其传导电力,和/或将信号发送至端部执行器1300和/或从其接收信号。 [0397] Also as shown, the shaft assembly 120,022 may comprise a slip ring assembly 1600, the slip ring assembly may be configured, for example, can be conducted to the power end effector 1300 and / or conducting electricity therefrom, and / or sends signals to the end effector 1300 and / or receive signals. 滑环组件1600可包括安装至从底盘1240延伸的底盘凸缘1242的近侧连接器凸缘1604,以及定位在限定于轴外壳中的狭槽内的远侧连接器凸缘。 The slip ring assembly mounted to the chassis 1600 may include a flange 1240 extending from the chassis proximal flange 1604 connectors 1242, and a flange positioned to define a slot in the shaft housing distal connector. 近侧连接器凸缘1604可包括第一面且远侧连接器凸缘可包括邻近第一面定位且能够相对于第一面运动的第二面。 Proximal connector 1604 may comprise a first flange and a side flange may include a distal connector positioned adjacent the first face and a second face with respect to the first face of the movement. 远侧连接器凸缘可围绕轴心线SA相对于近侧连接器凸缘1604旋转。 The distal flange connection 1604 with respect to the rotation around the axis of the proximal flange connection line SA. 近侧连接器凸缘1604可包括限定于其第一面中的多个同心或至少基本上同心的导体。 Proximal connector 1604 may include a flange defining a first face thereof a plurality of concentric or at least substantially concentric conductors. 连接器可安装在连接器凸缘的近侧上且可具有多个触点,其中每个触点与所述导体中的一者对应且电接触。 The connector can be mounted and may have a plurality of contacts on the proximal connector flange, wherein each contact of the conductors and the corresponding one of the electrical contacts. 此类布置允许近侧连接器凸缘1604与远侧连接器凸缘之间的相对旋转,同时保持它们之间的电接触。 Such an arrangement allows relative rotation between the proximal and distal connector flange connector flange 1604 while maintaining electrical contact therebetween. 近侧连接器凸缘1604可包括电连接器1606,所述电连接器可将导体放置成与例如安装到轴底盘1240的轴电路板1610进行信号通信。 Proximal connector flange 1604 may include an electrical connector 1606, the electrical connector may be placed, for example, conductor chassis mounted to the shaft axis 1240 of the circuit board 1610 performs signal communication. 在至少一种情况下,包括多个导体的线束可在电连接器1606与轴电路板1610之间延伸。 In at least one case, comprising a plurality of harness conductors may extend between the electrical connector 1606 to the shaft 1610 of the circuit board. 电连接器1606可朝近侧延伸穿过限定于底盘安装凸缘1242中的连接器开口1243。 The electrical connector 1606 may extend proximally through a defined connection to the chassis mounting flange 1242 of the opening 1243. 参见图22。 See Figure 22. 提交于2013年3月13日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM" 的美国专利申请序列号13/800, 067全文以引用方式并入本文。 Name filed March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM" US Patent Application Serial Number 13/800, 067 incorporated by reference herein. 提交于2013年3月13日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,025全文以引用方式并入本文。 Name filed March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,025 is incorporated by reference herein. 有关滑环组件1600的其它细节可见于美国专利申请序列号13/803,086。 Further details relating to the slip ring assembly 1600 can be found in U.S. Patent Application Serial No. 13 / 803,086.

[0398] 如上文所讨论,轴组件1200可包括可固定地安装到柄部1014的近侧部分和可围绕纵向轴线旋转的远侧部分。 [0398] As discussed above, the shaft assembly 1200 may comprise a proximal portion fixedly mounted to the handle portion 1014 and may be rotated about a longitudinal axis of the distal portion. 可旋转远侧轴部分可如上文所讨论围绕滑环组件1600相对于近侧部分旋转。 Distal shaft section may be rotatable about the above slip ring assembly 1600 relative to the proximal portion of the rotating discussed. 滑环组件1600的远侧连接器凸缘可定位在可旋转远侧轴部分内。 The slip ring assembly connected to a distal flange 1600 may be positioned within the distal portion of the rotatable shaft. 此外,除上述以外,开关鼓1500也可定位在可旋转远侧轴部分内。 Further, in addition to the above, the switching drum 1500 may also be positioned within the distal portion of the rotatable shaft. 当可旋转远侧轴部分旋转时,远侧连接器凸缘和开关鼓1500可彼此同步地旋转。 When the rotation of the rotatable distal shaft section, a distal flange, and a switch connected to the drum 1500 rotatable in synchronism with each other. 此外,开关鼓1500可相对于远侧连接器凸缘在第一位置与第二位置之间旋转。 In addition, the switch 1500 is movable relative to the drum flange connected to the distal rotatable between a first position and a second position. 当开关鼓1500处于其第一位置时,关节运动驱动系统能够可操作地与击发驱动系统脱离,并因此,击发驱动系统的操作可不使轴组件1200的端部执行器1300做关节运动。 When the switch is in its first position the drum 1500, the articulation drive system can be operably disengaged with the firing drive system, and therefore, the operating system may not be firing drive shaft assembly 1200 of end effector 1300 do articulation. 当开关鼓1500处于其第二位置时,关节运动驱动系统能够可操作地与击发驱动系统接合,并因此,击发驱动系统的操作可使轴组件1200的端部执行器1300做关节运动。 When the switch is in its second position the drum 1500, the articulation drive system operably engaged with the firing drive system, and therefore, the firing drive system can operate the end effector shaft assembly 1200 to 1300 do articulation. 当开关鼓1500在其第一位置和其第二位置之间移动时,开关鼓1500相对于远侧连接器凸缘移动。 When the switch 1500 is moved in the drum between its first position and its second position, the switch connected to the drum 1500 with respect to the flange distal movement. 在各种情况下,轴组件1200可包括被构造成能够检测开关鼓1500的位置的至少一个传感器。 In various circumstances, the shaft assembly 1200 may be configured to include at least one sensor capable of detecting the position of the switch 1500 of the drum.

[0399] 再次参见图22,底盘1240包括形成于其上的至少一个、并且优选地两个渐缩的附接部分1244,所述附接部分适于接收在形成在框架1020的远侧附接凸缘部分1700内的对应燕尾狭槽1702内。 [0399] Referring again to FIG. 22, the chassis 1240 includes a tapered and preferably two attachment portion 1244 is formed thereon at least one of the attachment portion is adapted to receive the contact is formed at the distal attachment frame 1020 1702 corresponding to the dovetail slots in the flange portion 1700. 参见图21。 See Figure 21. 每个燕尾狭槽1702可以是渐缩的,或者换句话讲,是略呈V形的,以无缝地将附接部分1244接收于其中。 Each dovetail slot 1702 may be tapered, or in other words, is slightly V-shaped to seamlessly receiving the attachment portion 1244 therein. 如可在图22中进一步所见,轴附接凸耳1226在中间击发轴1222的近侧端部上形成。 As can be further seen in FIG. 22, the shaft attachment lug 1226 formed on the intermediate firing shaft 1222 proximal end. 如将在下文进一步详细地讨论,当可互换轴组件1200联接到柄部1014时,轴附接耳1226接收在形成于纵向驱动构件1120的远侧端部1125中的击发轴附接底座1126中。 As will be discussed in further detail below, when the interchangeable shaft assembly 1200 is coupled to the handle 1014, the shaft 1226 receives the attachment lug formed on the distal end 1125 of the longitudinal drive member 1120 in the firing shaft attachment base 1126 in. 参见图21。 See Figure 21.

[0400] 各种轴组件实施方案采用闩锁系统1710来将轴组件1200可移除地联接到外壳1012,并且更具体地讲,联接到框架1020。 [0400] The shaft assembly of various embodiments employ latching system assembly 1710 to the shaft 1200 is removably coupled to the housing 1012 and, more specifically, coupled to the frame 1020. 如在图22中可见,例如,在至少一种形式中,闩锁系统1710包括活动联接到底盘1240的锁定构件或锁辄1712。 As it can be seen in FIG. 22, for example, at least one form, the latching system 1710 includes a movable member coupled to the locking disc in the end or the lock 17121240 noir. 在所示的实施方案中,例如,锁辄1712具有U形形状,该形状具有两个间隔开的向下延伸的腿部1714。 In the embodiment shown, for example, lock Noir 1712 has a U shape, the shape has two spaced apart legs extending downwardly 1714. 腿部1714各自具有形成于其上的枢转耳1715,所述枢转耳适于接收在形成于底盘1240中的对应孔1245中。 Each leg portion 1714 has a pivot lug 1715 formed thereon, adapted to receive the pivot lug in the corresponding hole 1245 formed in the chassis 1240. 此类布置促进锁辄1712枢转地附接到底盘1240。 Such an arrangement promoting Noir lock 1712 is pivotally attached to the chassis 1240. 锁辄1712可包括两个朝近侧突出的锁耳1716, 该锁耳被构造用于与位于框架1020的远侧附接凸缘1700中的对应锁定卡位或沟槽1704可释放地接合。 Noir lock 1712 may comprise two proximally protruding lugs 1716 of the lock, the lock tab is configured for engaging a flange 1700 of the frame 1020 and a corresponding distal attachment or locking position releasably engage grooves 1704. 参见图21。 See Figure 21. 在各种形式中,锁辄1712被弹簧或偏置构件(未示出)在近侧方向上偏置。 In various forms, the lock 1712 is Noir spring or biasing member (not shown) biased in the proximal direction. 锁辄1712的致动可通过闩锁按钮1722来实现,所述闩锁按钮可滑动地安装在安装至底盘1240的闩锁致动器组件1720上。 1712 Noir lock actuation may be achieved by latch button 1722, the latch button slidably mounted on the chassis of the latch 1240 is mounted to the actuator assembly 1720. 闩锁按钮1722可相对于锁辄1712在近侧方向上偏置。 Button latch 1722 may be offset relative to the lock Noir 1712 in the proximal direction. 如将在下文进一步详细地讨论,锁辄1712可通过在远侧方向上偏置闩锁按钮来移动到解锁位置,这还导致锁辄1712枢转至不与框架1020的远侧附接凸缘1700保持接合。 As will be discussed in further detail below, the lock Noir 1712 in the distal direction by biasing the latch button to move to the unlocking position, which also results in distal lock Noir 1712 is not pivoted with the frame attachment flange 1020 1700 remain engaged. 当锁辄1712 与框架1020的远侧附接凸缘1700"保持接合"时,锁耳1716固定地安置在远侧附接凸缘1700 中的对应锁定卡位或沟槽1704内。 When the lock Noir distal frame 1712 and the attachment flange 1020 1700 'remains engaged ", lock tab 1716 is fixedly disposed at the distal attachment flange 1700 corresponding locking detent or groove 1704.

[0401] 当采用包括本文所述类型的适于切割和紧固组织的端部执行器以及其它类型的端部执行器的可互换轴组件时,可能需要在端部执行器的致动期间防止可互换轴组件从外壳意外脱离。 [0401] When the interchangeable shaft assembly includes an end effector of the type described herein is adapted to cut and secure tissue, and other types of end effectors may be required during the actuation of the end effector interchangeable shaft assembly to prevent accidental detachment from the housing. 例如,在使用中,临床医生可致动闭合触发器32以抓握目标组织并将其操纵成期望的位置。 For example, in use, the clinician may actuate the closure trigger 32 to grasp and manipulate the target tissue into a desired position. 一旦目标组织在端部执行器1300内被定位成期望的取向,临床医生便可完全致动闭合触发器1032以关闭砧座1306并将目标组织夹紧就位以进行切割和缝合。 Once the target tissue is located in the desired end effector orientation 1300, the clinician can fully actuated to close the closure trigger 1032 and the anvil 1306 of the target tissue clamped in place for cutting and stapling. 在这种情况下,第一驱动系统1030已被完全致动。 In this case, the first drive system 1030 has been fully actuated. 在目标组织已夹持在端部执行器1300中之后,可能需要防止轴组件1200从外壳1012意外脱离。 Target tissue has been clamped in the end effector after the 1300, 1200 assembly may be required to prevent the shaft 1012 is disengaged from the housing accidentally. 闩锁系统1710的一种形式被构造成能够防止此类意外脱离。 One form of latching system 1710 is configured to be able to prevent such accidental disengagement.

[0402] 如最具体地在图22中可见,锁辄1712包括至少一个、并且优选地两个锁钩1718,所述锁钩适于接触形成在闭合梭动件1250上的对应锁耳部分1256。 [0402] As can be seen most particularly, comprising at least one lock Noir 1712 in FIG. 22, and preferably two locking hooks 1718, the locking hook adapted to contact the movable member is formed in a closed shuttle portion 1256 corresponding to the lock tab 1250 . 当闭合梭动件1250处于未致动位置(即,第一驱动系统1030未致动并且砧座1306打开)时,锁辄1712可在远侧方向上枢转以将可互换轴组件1200从外壳1012解锁。 When the closure shuttle member 1250 in an unactuated position (i.e., the first drive system 1030 is not actuated and to open the anvil 1306), 1712 Noir pivotable lock in a distal direction from the interchangeable shaft assembly 1200 unlock housing 1012. 当处于该位置时,锁钩1718不接触闭合梭动件1250上的锁耳部分1256。 When in this position, the latching hook 1718 does not contact the closure member movable shuttle portion 1256 on lock tab 1250. 然而,当闭合梭动件1250移动到致动位置(即,第一驱动系统1030致动并且砧座1306处于闭合位置)时,锁辄1712被防止枢转到解锁位置。 However, when the closure member 1250 moves the shuttle to the actuated position (i.e., a first drive system 1030 and the actuator 1306 anvil in a closed position), the lock is prevented Noir 1712 pivoted to the unlocked position. 换句话讲,如果临床医生试图将锁辄1712枢转到解锁位置,或者例如锁辄1712以可能以其它方式导致其朝远侧枢转的方式被意外碰撞或接触,则锁辄1712上的锁钩1718将接触闭合梭动件1250上的锁耳1256并防止锁辄1712移动到解锁位置。 In other words, if the clinician attempts to lock Noir 1712 pivot to the unlocked position, such as a lock or Noir 1712 may cause it to be accidental collision or contact with distally pivotally otherwise, the lock on Noir 1712 the locking hook 1718 shuttle member contacts the closure on the locking lugs 1256 and 1250 to prevent lock 1712 to the unlocked position Noir.

[0403] 现在将描述可互换轴组件1200到柄部1014的附接。 [0403] Description will now be made interchangeable shaft assembly 1200 to the handle portion 1014 is attached. 要开始联接过程,临床医生可将可互换轴组件1200的底盘1240定位在框架1020的远侧附接凸缘1700上方或附近,使得形成在底盘1240上的渐缩附接部分1244与框架1020中的燕尾狭槽1702对齐。 To start the coupling process, the clinician may be interchangeable shaft assembly 1200 of the chassis 1240 is positioned over or near the distal attachment flange 1700 of the frame 1020, is formed such that the tapered attachment portion 1240 on the chassis 1244 and the frame 1020 the dovetail slot 1702 is aligned. 然后,临床医生可沿垂直于轴心线SA的安装轴线移动轴组件1200以将附接部分1244安置成与对应的燕尾接收狭槽1702"可操作地接合"。 Then, the clinician can move along an axis perpendicular to the mounting axis of the shaft assembly of the SA 1200 to the attachment portion 1244 positioned corresponding dovetail receiving slots 1702 "operably engaged." 在进行这样的操作时,中间击发轴1222上的轴附接耳1226 也将安置在可纵向移动的驱动构件1120的底座1126中,并且第二闭合连杆1038上的销1037 的部分将安置在闭合辄1250中的对应钩1252中。 During such operation, the intermediate firing shaft attachment lug 1222 to 1226 on the base 1126 are also disposed in longitudinally movable drive member 1120, and the second portion of the pin 1037 of the closure link 1038 will be placed in the closing Noir 1250 1252 corresponding to the hook. 如本文所用,在两个部件装置的上下文中, 术语"可操作地接合"是指所述两个部件彼此充分地接合,使得一旦向其施加致动运动,部件可执行其预期活动、功能和/或程序。 As used herein, in the context of two parts of the device, the term "operably joined" means that the two members are joined to each other sufficiently, so that upon application of an actuation motion member can perform its expected activity, function, and / or programs.

[0404] 可互换轴组件1200的至少五个系统能够可操作地与柄部1014的至少五个相应系统联接。 [0404] interchangeable shaft assembly 1200 can be at least five system operatively coupled to at least five respective system 1014 with the shank. 第一系统可包括将轴组件1200的框架或脊柱与柄部1014的框架1020联接和/或对齐的框架系统。 The first system may comprise a frame, or spine 1020 is coupled to the frame assembly 1200 of the handle shaft 1014 and / or alignment of the frame system. 另一系统可包括闭合驱动系统1030,该闭合驱动系统能够将柄部1014的闭合触发器1032与轴组件1200的闭合管1260和砧座1306可操作地连接。 The system may further include a closure drive system 1030, the drive system is capable of closing the closure trigger handle shaft assembly 1014 1032 1200 1260 and the closure tube 1306 operably connected to the anvil. 如上文概述,轴组件1200的闭合管附接辄1250可接合第二闭合连杆1038上的销1037。 As outlined above, the shaft closure tube assembly 1200 may engage attachment pin Noir 1250 1037 1038 on the second closing link. 另一系统可包括击发驱动系统1080,该击发驱动系统能够将柄部1014的击发触发器1130与轴组件1200的中间击发轴1222可操作地连接。 The system may further include a firing drive system 1080, the system is capable of firing drive the intermediate shaft assembly of the firing trigger 1130 and 1200 of the handle 1014 of the shaft 1222 is operably connected to firing. 如上文概述,轴附接耳1226能够与纵向驱动构件1120的底座1126可操作地连接。 As outlined above, the shaft attachment lug 1226 1126 can be operatively connected to the base of the longitudinal drive member 1120. 另一系统可以包括电气系统,该电气系统可以:发送例如轴组件(诸如轴组件1200)已与柄部1014可操作地接合的信号到柄部1014中的控制器,诸如微控制器;和/或其二,在轴组件1200和柄部1014之间传导电力和/或通信信号。 Another system may include an electrical system, the electrical system can: send, for example, a shaft assembly (such as shaft assembly 1200) and the signal has a handle portion 1014 operatively engaged to the handle portion of the controller 1014, such as a microcontroller; and / or two conductive power and / or communication signals between the shaft 1014 and handle assembly 1200. 例如,轴组件1200可包括可操作地安装至轴电路板1610的电连接器1810。 For example, the shaft assembly 1200 may include a shaft operably mounted to a circuit board electrical connector 1610 1810. 电连接器1810被构造用于与柄部控制板1100上的相应电连接器1800配合接合。 The electrical connector 1810 is configured with a corresponding electrical connector on the handle panel 11001800 fit engagement. 有关电路和控制系统的其它细节可见于美国专利申请序列号13/803,086和美国专利申请序列号14/226,142,上述专利中每一者的全部公开内容已在先前以引用方式并入本文。 Additional details regarding the circuit and the control systems can be found in U.S. Patent Application Serial No. 13 / 803,086 and U.S. Patent Application Serial No. 14 / 226,142, the entire disclosures of each of the patent has been incorporated by reference previously herein. 第五系统可由用于将轴组件1200可释放地锁定到柄部1014的闩锁系统组成。 The fifth system can be used for the shaft assembly 1200 may be releasably locked to the handle portion 1014 is composed of latching system.

[0405] 手术缝合器已在现有技术中使用,以同时在组织中切开纵向切口和将成排的缝合钉施加到切口的相对两侧。 [0405] Surgical staplers have been used in the prior art, the staples to tissue while cutting the rows of the longitudinal cut and applied to the opposite sides of the incision. 这种器械常常包括一对协同工作的钳口构件,如果意图将器械用于内窥镜式或腹腔镜式应用,则钳口构件能够穿过套管通道。 Such devices often include a pair of cooperating jaw members, if the instrument is intended for endoscopic or laparoscopic applications, it is capable of passing through a cannula passageway jaw member. 钳口构件之一接收有钉仓, 该钉仓具有横向隔开的至少两排钉。 One of the jaw members receives a staple cartridge has, the staple cartridge having at least two laterally spaced rows of staples. 另一钳口构件限定砧座,该砧座具有与仓中的钉排对准的钉成形凹坑。 Other jaw member defines an anvil, the anvil having a staple cartridge and staple forming pockets aligned with the rows. 器械包括多个往复式楔形件,当朝远侧驱动时,所述多个往复式楔形件穿过钉仓中的开口并且接合支撑钉的驱动器,以实现钉朝砧座的击发。 Instrument includes a plurality of reciprocating wedges, when driven distally, said plurality of reciprocating wedges drive through openings in the staple cartridge and engage supporting the staples to effect the firing of the staples toward the anvil.

[0406] 通过在切口每侧上形成钉排的同时切断组织,可以减少流血和简化外科手术。 [0406] sever tissue while forming rows of staples through the slit in each side, can be reduced and simplified surgical bleeding. 由于内窥镜式和腹腔镜式手术的术后恢复时间更少以及其它优点,因此相比开腹手术,这些手术为越来越优选的。 Because endoscopic surgery and laparoscopic surgery less recovery time and other advantages, as compared to open surgery, the surgery more preferred. 内窥镜式缝合和切断器械使用往往在被夹紧到厚组织上时向上偏转的细长钳口构件。 Endoscopic stapling and severing instrument tend to use elongated jaw members are deflected upwardly when clamped onto thick tissues. 在厚组织上,钳口的自由(远侧)端部的此向上偏转可因砧座与仓之间的远侧间隙大于近侧间隙而导致成形钉的高度差。 On thick tissue, the jaw free (distal) end of this portion can be deflected upward due to a gap between the distal anvil and the cartridge is larger than the proximal gap caused by the difference in height of the formed staples. 为确保更一致的近侧到远侧钉成形,砧座通常朝着钉仓向内拱起或弯曲。 To ensure more uniform proximal to distal staple formation, the anvil is generally cambered or curved inwardly toward the staple cartridge. 这种拱起较适用于厚组织并且当用在薄组织上时可使较紧的钉形成在远侧端部处。 Such doming is more suitable for thick tissue and can tighter staple at the distal end is formed when used on thin tissue. 为克服这种紧密远侧闭合,向仓的邻近仓远侧端部的夹持表面增设了销或隆起块。 To overcome this tight distal closure, pins or bumps addition of the cartridge clamping surface adjacent the distal end of the cartridge. 砧座到销上的闭合确保了远侧端部处的最小间隙。 The anvil to the closed pin ensures a minimum gap at the distal end. 然而,外科医生担心销或隆起块会导致组织创伤。 However, the surgeon worried pins or bumps can cause tissue trauma.

[0407] 为应对此类挑战,已开发了各种布置。 [0407] In response to such challenges, we have developed a variety of arrangements. 例如,一种布置包括"E柱杆"切割头或击发杆,所述"E柱杆"或击发杆被构造成能够有效地将砧座与支撑钉仓的细长通道间隔开。 For example, an arrangement comprising "E mast" or firing bar cutting head, the "E pole" or firing bar is configured to be able to effectively support the anvil and staple cartridge channel spacing apart elongated. 此类E柱杆切割头或击发杆布置在例如名称为"SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM"的美国专利6,978,921 中公开,该美国专利的全部公开内容据此以引用方式并入本文。 Such cutting head pole E or firing bar disposed in U.S. Patent No. 6,978,921, for example, entitled "SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM" disclosed, the entire disclosure of U.S. patent is hereby incorporated by reference herein.

[0408] 例如,如本文的图2和图3所示,组织切割头包括可在端部执行器16中平移的E柱杆50。 [0408] For example, FIGS. 2 and 3 as shown in FIG herein, the cutting head comprises a translatable tissue in the end effector 16 50 E mast. 如上所述,E柱杆50可包括竖直部分52,所述竖直部分可当E柱杆50朝远侧推进时穿过延伸穿过砧座20中的组织接触表面60的狭窄纵向砧座狭槽58、钉仓42中的狭窄竖直狭槽62、 以及细长钉通道40中的狭窄纵向通道狭槽64。 As described above, E mast 50 may include a vertical portion 52, when the vertical portion can extend through pole E through the tissue contacting surface 20 of the anvil 50 distally advancing narrow longitudinal anvil 60 slot 58, a narrow vertical slot 62 in the staple cartridge 42, and an elongate staple channel narrow longitudinal slots 40 of the channel 64 砧座狭槽58可向上延伸到砧座20中并且可包括通入横向加宽的纵向通道66中的端部,所述横向加宽的纵向通道66的尺寸和构造使得其接收从竖直部分52横向延伸的上部销54。 Anvil slot 58 may extend upwardly and into the anvil 20 may include a laterally widened end portion into the longitudinal channel 66, the laterally widened longitudinal channel 66 is sized and configured such that it receives from the vertical portion the upper portion 52 of pin 54 extending transversely. 相似地,通道狭槽64可向下延伸到通道40中并且可包括通入横向加宽的纵向通道68中的端部,所述横向加宽的纵向通道68的尺寸和构造使得其接收从竖直部分52横向延伸的一个或多个下部引脚70』柱杆50还可包括一个或多个中间销72,所述中间销可从竖直部分52横向延伸并且可被构造成能够沿着钉仓42的底盘74 的顶部表面滑动。 Similarly, the channel slot 64 may extend downwardly into the channel 40 and may include a laterally widened end portion into the longitudinal channel 68, the lateral widening of the longitudinal channel 68 sized and configured such that it receives from the vertical one or more straight portions 52 of the lower transverse pin 70 extending 'struts 50 may further include one or more of the central pin 72, said pin vertically intermediate portion 52 and extending laterally from a staple is configured to be along chassis 42 of the top surface of the cartridge 74 slides. 在某些实施方案中,中间销72可被构造成能够固定钉仓42,或者确保钉仓42保持位于通道40中。 In certain embodiments, the center pin 72 may be configured to be fixed to the cartridge 42, or that the cartridge 42 remains in the passageway 40. 形成于底盘74上方的钉仓42中的纵向击发凹槽75的尺寸设定成允许中间销72平移穿过钉仓42。 Longitudinal firing recess 74 formed above the chassis 42 of the dimensions of the cartridge 75 is set to allow the middle pin 72 to translate through the staple cartridge 42.

[0409] 各种细长通道布置包括细长或纵向狭槽,所述细长或纵向狭槽在E柱杆切割头于细长通道的近侧部分中的开始位置和与细长通道的远侧端部相邻的结束位置之间延伸。 [0409] various elongated or elongated channel arrangement comprises a longitudinal slot, said longitudinal slot or elongated mast E in the cutting head at the start position far proximal portion of the elongate passage and an elongated passageway extends between the side end portion adjacent to the end position. E 柱杆切割头的竖直部分延伸穿过纵向狭槽,并且E柱杆的下部引脚部分沿细长通道的底部表面伸展。 E mast vertical portion of the cutting head extends through the longitudinal slot, and the bottom surface of the lower pin portion along the elongated passage E extend the mast. 引脚部分可有助于相对于细长通道有效地间隔砧座,并且还可用作供临床医生探知切割头在细长通道中的位置的便利方式。 Pin portion relative to the elongate channel may help effectively spacing the anvil, and also serve as a convenient way for the clinician to ascertain the position of the cutting head of the elongated channel. 通过观察当切割头朝远侧推进穿过仓时切割头引脚的位置,临床医生将确切地指导切割头在仓中的位置。 By observing the position of the cutting head when the cutting head towards the pin distally advanced through the cartridge, exactly guide the clinician in the cutting position of the head of the cartridge. 在为间隔砧座和监测切割头位置提供有效方式的同时,此类布置在细长通道中采用纵向狭槽,该纵向狭槽可降低通道刚度以及通道对扭转和扩展的抵抗力。 While providing an effective way of monitoring the cutting gap and the anvil head position, such an arrangement using an elongated longitudinal slot in the channel, the longitudinal slot may be reduced channel resistance and torsional stiffness and extension of the channel.

[0410] 为避免细长通道的此类扩展,可能需要消除细长通道以在缝合厚组织时增强对扭转和扩展的抵抗力。 [0410] In order to avoid such extension of the elongated channel, the elongated channel may want to eliminate to enhance resistance to torsion and extension when stapling thick tissue. 然而,此类布置可使得外科医生无法通过观察刀引脚的位置来查看缝合已进行了多远。 However, such an arrangement may not allow the surgeon to see how far the suture has been observed by the position of the knife pin. 图32示出了除以下差异以外可与本文所公开的各种细长通道类似的细长通道6022,该细长通道6022包括例如细长通道22和302。 FIG 32 illustrates elongated channel 6022 may be similar to various elongated channels disclosed herein except for the following differences, for example, the elongated channel 6022 comprises an elongate channel 22 and 302. 细长通道6022可由合适的聚合物材料模制和/或机械加工和/或以其它方式形成,并且包括基本上实心的底部表面部分6024。 Elongated channel 6022 may be formed of suitable polymeric material, molding and / or machining and / or otherwise formed, and includes a substantially solid bottom surface portion 6024. 细长通道6022被构造成能够在其中支撑外科钉仓(未示出)。 Elongated channel 6022 is configured to be able to support a surgical staple cartridge therein (not shown). 细长通道6022可包括由两个向内延伸的凸边部分6028限定的细长内部狭槽6026。 Elongated channel 6022 may comprise an elongated slot 6026 defined an internal projection extending from the two side portions 6028 inwardly. 向内延伸的凸边部分6028还在凸边部分6028与实心底部部分6024之间限定内部通路6030。 Projecting inwardly extending edge portion of the flange portion 6028 also between 6028 and 6024 the solid bottom portion defining an internal passageway 6030. 虽然细长内部狭槽6026延伸达细长通道6022的大部分长度,但其不延伸穿过细长通道6022的底部表面6024。 While the elongated slot 6026 extending inside most of the length of the elongated channel 6022, but does not extend through the bottom surface 6022 of the elongated channel 6024. 该内部通路6030的尺寸设定成可滑动地容纳形成在或以其它方式附接到切割头的一个或多个引脚。 The size of the internal passage 6030 is set to be slidably received in one or more pins formed or otherwise attached to the cutting head.

[0411] 图42示出了例如可结合细长通道6022使用的E柱杆切割头6050。 [0411] FIG. 42 illustrates, for example, E may bind mast elongated channel 6022 6050 using cutting head. 然而,如将变得显而易见,细长通道6022还可与各种不同的切割头布置结合使用,所述各种不同的切割头布置在切割头的底部上采用单个引脚或多个引脚。 However, as will become apparent, the elongate channel 6022 may also be a variety of different cutting heads are arranged in combination, the various cutting head arranged on the bottom of the cutting head with a single pin or multiple pins. 参见图42,切割头6050包括以两个侧向延伸的下部引脚6070终止的竖直部分6052。 Referring to FIG. 42, the cutting head 6050 includes a vertical pin to a lower portion 6070 terminating two laterally extending portion 6052. 竖直部分6052被构造成能够穿过细长狭槽6026, 使得下部引脚6070被接收在对应的凸边部分6028下方。 Vertical portion 6052 is configured to be capable of passing through the elongated slot 6026, so that the lower pin 6070 is received in the bottom of the flange portion corresponding to 6028.

[0412] 再次参见图32,细长通道6022还可包括设置在细长通道6022的底部部分6024的近侧端部中的近侧通道开口6040。 [0412] Referring again to FIG. 32, the elongate channel 6022 may further comprise a bottom portion disposed at the proximal end portion 6024 of the elongated channel 6022 in the proximal passage opening 6040. 近侧通道开口6040可让临床医生能够在切割头6050处于开始或未击发位置时观察切割头6050的引脚6070或一个或多个其它部分中的至少一者。 Observation of the cutting head pin 60706050 or at least one of the one or more other portions of the passage opening proximally allows a clinician to 6040 in a starting position of the cutting head or unfired 6050. 此"开始位置"也可与当切割头6050处于如将在下文进一步详细地讨论的闭锁位置时切割头6050所处的位置对应。 This "start position" and also in 6050 when the cutting head cutting head 6050 as will be located at the position of the locking position discussed in further detail below correspond. 相似地,在底部部分6024的远侧端部中设有远侧通道开口6042,该远侧通道开口可让临床医生能够在切割头6050处于其"完全击发"或"结束位置"时观察切割头6050的引脚6070或一个或多个其它部分中的至少一者。 Similarly, when an observation channel distal opening 6042, the distal passage opening allows a clinician to 6050 in its "fully fired" or "end position" of the cutting head cutting head at the distal end portion of the bottom portion 6024 60706050 pin or one or more other portions of at least one. 这种布置向临床医生提供用于探知切割头是处于其开始位置还是处于其结束位置同时提供相比于具有纵向延伸穿过细长通道的底部的纵向狭槽的其它通道相对更硬的细长通道的方法。 This arrangement provides the clinician to ascertain the cutting head is in its starting position or in its end position while the other channels to provide a longitudinal slot extending longitudinally through the bottom of the elongated passage of relatively harder as compared to the elongated channel having Methods. 近侧通道开口6040和远侧通道开口6042可以图32所示方式成形为有利于例如切割头6050至细长通道6022中的轻松安装(通过近侧通道开口6040)和切割头6050从细长通道6022的移除(通过远侧通道开口6042)。 The proximal 6040 and distal passage opening passage opening 6042 shown in FIG. 32 may be shaped to facilitate easy mounting of the cutting head, for example, 6050 to 6022 in the elongated channel (passage through the proximal opening 6040) and the cutting head from the elongate channel 6050 removing 6022 (6042 through the distal passage opening). 因此,细长通道6022具有包括分别与切割头击发行程的开始和结束对应的开口6040,6042的闭合底部。 Thus, the elongated channel 6022 having a cutting head comprising respectively the start and the end of the firing stroke corresponding to the opening of the closed bottom 6040,6042. 这种布置允许看到击发的开始和结束并且允许切割头至如将在下文进一步详细地讨论的锁定位置的向下运动。 This arrangement allows to see the beginning and end of the firing and allow the cutting head to the locking position as will be discussed in further detail below, the downward movement.

[0413] 细长通道6022可有效地与手动地推进的或通过马达驱动式击发系统推进的切割头组件一起使用。 [0413] 6022 may be used with an elongated channel with effectively propelled manually or by a motor-driven propulsion system of the cutting head assembly firing. 例如,上文所述的外科器械10包括通过致动触发器32手动地推进的切割头50。 For example, surgical instrument 10 described above includes a 50 by actuating trigger 32 is manually advance the cutting head. 在各种布置中,切割头50可通过三次致动击发触发器32从其开始位置推进到结束位置。 In various arrangements, the cutting head 50 can be actuated by the firing trigger 32 times to promote its start position to the end position. 因此,例如,一次致动触发器32可将切割头在细长通道中朝远侧移动开始位置与结束位置之间的距离的三分之一("第一击发位置")。 Thus, for example, the actuator 32 may be one third of the distance between the cutting head distal movement of China and Korea elongated channel start position and end position of the trigger ( "the first firing position"). 第二次启动触发器可导致切割头50行进开始位置和结束位置之间的路程的三分之二("第二击发位置")且第三次启动触发器32可导致切割头50从第二击发位置到结束位置的推进。 The second may result in two-thirds of the start trigger ( "second firing position") between the cutter head 50 from the traveling start position and end position and the third flip-flop 32 to start the cutting head 50 can cause the second advancing the firing position to the end position. 因此,当切割头6050能够通过远侧通道开口6042看到时,临床医生将知道切割头6050已被完全击发。 Thus, when the cutting head can be seen 60506042 passage through the distal opening, the clinician will know that the cutting head 6050 has been fully fired. 此类细长通道6022还可与电力式外科器械1010 (图19至图22)结合使用。 Such elongated channel 6022 may also be used in combination with a power surgical instrument 1010 (FIG. 19 to FIG. 22).

[0414] 图33至图35示出了除所提到的差异以外类似于细长通道6022的另一个细长通道布置6122。 [0414] FIGS. 33 to 35 illustrate another elongated channel in addition to the differences mentioned arrangement similar elongated channel 6022 6122. 细长通道布置6122的与细长通道布置6022的部分相同的那些部分将共享相同的元件编号。 And elongated channel disposed elongated channel part of the same arrangement as those of the 6122 section 6022 share the same element numbers. 具体地讲,如图33中可见,在底部部分6124中设置有一系列间隔开的指示器开口6144。 Specifically, in Figure 33 it can be seen in the bottom portion 6124 is provided with a series of spaced apart openings 6144 of the indicator. 指示器开口6144可在数量、尺寸和间距上变化,但在至少一个布置中,指示器开口6144具有相同尺寸并且在一行中均匀间隔开使得它们通到细长内部通路6030中。 Opening indicator 6144 may vary in number, size and spacing, in at least one arrangement, the indicator opening 6144 having the same size and evenly spaced apart in a row so that they pass into the elongated interior passageway 6030. 如可在那些图中所见,指示器开口6144为圆形形状。 As can be seen in those figures, the indicator opening 6144 is circular in shape. 同样如图33中可见,可在细长通道6122的近侧端部内安装光源6160使得光源6160将光投射到内部通路6030中(在图33和图34中以虚线"L" 表不)。 Also seen in Figure 33, the light source 6160 may be mounted such that the light source 6160 is projected onto the internal passageway 6030 (in FIG. 33 and FIG. 34 in phantom "L" table is not) in the proximal end 6122 of the elongated channel. 光源6160可包括例如一个或多个发光二极管("LED")或其它光源布置,所述一个或多个发光二极管或其它光源布置可接收穿过导体6164的电力,所述导体联接到外科器械或机器人系统等的柄部,细长通道6122可操作地附接至所述柄部。 The light source 6160 may include one or more light emitting diodes ( "LED") or other light source is disposed, the one or more light emitting diodes or other light source arrangements may receive power through the conductors 6164, the conductor coupled to the surgical instrument or robot systems handle portion, an elongated channel 6122 operably attached to the handle portion. 当光源6160被供电时,光将投射到内部通路6030中。 6160 when the light source is energized, the light is projected into the interior passageway 6030. 当切割头6050处于开始位置时,切割头6050可阻挡任何光"L"通过指示器开口6144中的任一者而可见。 When the cutting head 6050 is in starting position, the cutting head 6050 may block any light "L" by the indicator 6144 is visible to any one of the openings. 因此,当没有光"L"通过指示器开口6144中的任一者而可见时,临床医生将知道切割头6050处于开始位置。 Accordingly, when no light "L" in 6144 and is visible through the indicator opening any one of, the clinician will know that the cutting head is in the start position 6050. 当切割头6050朝远侧推进经过指示器开口6144时,光"L"将射到切割头6050上且至少通过紧邻切割头6050的不受阻挡的指示器开口6144可见,如图34所示。 When the cutting head 6050 is advanced distally through the opening when the indicator 6144, light "L" incident on the cutting head by at least 6050 and immediately cutting head unobstructed opening 6144 is visible indicator 6050 shown in Figure 34. 因此,此类布置使临床医生能够在切割头在细长通道6122中从其开始位置朝远侧移动到其结束位置时监测切割头6050的进程。 Thus, such arrangement enables the clinician to move the cutting head from which the elongated channel 6122 distally to its start position at the end of the cutting process of monitoring the position of head 6050. 这种细长通道布置也比具有完全延伸穿过细长通道的底部表面的大部分的细长狭槽的那些细长通道布置更硬且更刚性。 This arrangement also those elongated channel disposed elongated channel having a harder and more rigid than most elongated slot extending completely through the elongated channel bottom surface. 在一个布置中,临床医生可确定切割头的位置,因为将没有光照射穿过切割头所在的指示器开口。 In one arrangement, the clinician can determine the position of the cutting head, because no light is irradiated through the indicator opening of the cutting head is located. 所有其它指示器开口将具有从其照射穿过的光。 All other indicators having openings through which light is irradiated therefrom. 因此,在一个布置中,"黑色" 或未亮的指示器开口是切割头所在的位置。 Thus, in one arrangement, the "black" light indicator opening or position of the cutting head is located. 在其它实施方案中,可省略光源。 In other embodiments, the light source may be omitted. 临床医生可仍藉由通过指示器开口6144观察引脚6070的位置来监测切割头6050在细长通道6122中的位置。 Clinician may still by observation position by the indicator pin 6070 of the opening 6144 to monitor the position of the cutting head 6050 of the elongate channel 6122.

[0415] 图36示出了除所提到的差异以外类似于细长通道6122的另一细长通道布置6222。 [0415] FIG. 36 shows a difference other than mentioned other similar elongated channel 6122 disposed elongated passageway 6222. 相同于细长通道布置6122的部分的细长通道布置6222的那些部分将共享相同的元件编号。 Identical to the elongated channel portions 6122 disposed elongate those portions of the channel arrangement 6222 will share the same element numbers. 如该图中可见,一系列间隔开的指示器开口6144被设置穿过底部表面6224。 As seen in FIG., A series of spaced apart openings indicator 6144 is disposed through the bottom surface 6224. 在所示的布置中,指示器开口6144具有相同的尺寸和形状但被设置成以不同的间隔穿过底部表面6224。 In the arrangement shown, the indicator 6144 having an opening the same size and shape but are arranged at different intervals through the bottom surface 6224. 例如,最近侧指示器开口6144P可与近侧开口6040间隔第一间距距离"FSD",所述第一间距距离使(例如)切割头6050的引脚6070或其它部分中的至少一者能够当切割头6050处于开始位置时通过所述第一间距距离而被观察到。 For example, recently the opening side indicator 6144P proximal opening 6040 may be spaced with a first spacing distance "FSD", so the first pitch distance (e.g.) 6050 of the cutting head pin 6070 or other portions can be at least one when cutting head 6050 is observed by a first pitch distance when in the starting position. 同样,最远侧指示器开口6144D可与相邻指示器开口6144间隔开不同于第一间隔距离FSD的第二间隔距离"SSD"。 Similarly, the most distal openings 6144D indicator 6144 may be spaced apart a second distance different from the first spacing distance of FSD "SSD" indicator adjacent the opening. 如可在图36中所见,例如,SSD大于FSD。 As can be seen in FIG. 36, for example, greater than the SSD FSD. 最远侧指示器开口6144D可与处于其结束位置的切割头6050的位置对应。 The most distal openings 6144D indicator may correspond to the position of the cutting head is in its end position 6050. 因此,细长通道布置6222示出了可变间距指示器开口,其中当您从近侧向远侧移动时,开口的数量减少。 Thus, the elongated channel arrangement 6222 shows a variable pitch indicator opening, wherein when the number when you move from proximal to distal, the opening is reduced.

[0416] 图37示出了除所提到的差异以外类似于细长通道6122的另一细长通道布置6322。 [0416] FIG. 37 shows a difference other than mentioned other similar elongated channel 6122 disposed elongated passageway 6322. 相同于细长通道布置6122的部分的细长通道布置6322的那些部分将共享相同的元件编号。 Identical to the elongated channel portions 6122 disposed elongate those portions of the channel arrangement 6322 will share the same element numbers. 如该图中可见,细长通道布置6322包括一系列细长离散的指示器开口6144'。 As seen in FIG elongate channel 6322 comprises a series arrangement of discrete indicators elongated opening 6144 '. 在所示的布置中,指示器开口6144'具有相同的尺寸和形状并且以均匀的间隔布置。 In the arrangement shown, the indicator opening 6144 'have the same size and shape and are arranged at uniform intervals.

[0417] 图38示出了除所提到的差异以外类似于细长通道6222的另一细长通道布置6422。 [0417] FIG. 38 shows a difference other than mentioned other similar elongated channel 6222 disposed elongated passageway 6422. 相同于细长通道布置6222的部分的细长通道布置6422的那些部分将共享相同的元件编号。 Identical to the elongated channel portions 6222 disposed elongate those portions of the channel arrangement 6422 will share the same element numbers. 如该图中可见,仅两个间隔开的"离散"指示器开口6144"被设置成穿过底部表面6424。在所示的布置中,指示器开口6144"具有相同的尺寸和形状但被设置成以不同的间隔穿过底部表面6424。 As seen from the figure only two spaced apart "discrete" indicator opening 6144 'is disposed through the bottom surface 6424. In the illustrated arrangement, the indicator opening 6144 "has the same size and shape but are arranged into different intervals through the bottom surface 6424. 例如,最近侧指示器开口6144P 〃可与近侧开口6040间隔开第一间隔距离"FSD"且最远侧指示器开口6144D〃可与最近侧指示器开口6144〃间隔开不同于第一间隔距离FSD的第二间隔距离"SSD"。 For example, the most proximal opening indicator 6040 may be spaced 6144P 〃 proximal opening spaced apart by a first distance "FSD" and the most distal opening 6144D〃 indicator may 6144〃 spaced apart openings nearest side indicator different from the first spacing distance the second spacing distance of FSD "SSD". 在例如至少一个布置中,当细长通道6422与通过致动击发触发器而手动地推进的切割头组件一起使用时,在切割头组件正通过击发触发器的"第一行程"或第一致动推进时,切割头组件的至少一个引脚或其它部分通过近侧指示器开口6144P"可见。同样,在击发触发器的第二行程或第二致动程序期间,切割头组件的至少一个引脚或其它部分通过最远侧指示器开口6144D"可见。 In at least one arrangement for example, when the elongated channel 6422 for use with the cutting head assembly by actuating the firing trigger is manually propelled, the cutting head assembly in the firing trigger is through a "first stroke" or the same when moving forward, the cutting head assembly or other portion of the at least one pin through the proximal opening of the indicator 6144P "seen. Also, during the second stroke of the firing trigger actuation or second program, the cutting head assembly of at least one primer feet or other portions of the indicator in the most distal openings 6144D "visible. 因此,细长通道6422包括细长狭槽形指示器开口以及当你由近至远运动时提供更多闭合/更少打开的圆形指示器开口。 Thus, the elongated channel 6422 comprises an elongated slot-shaped opening, and when the indicator is provided by you when moving near to far more closed / open circular indicator fewer openings.

[0418] 图39示出了除所提到的差异以外类似于细长通道6422的另一细长通道布置6522。 [0418] FIG. 39 shows a difference other than mentioned other similar elongated channel 6422 disposed elongated passageway 6522. 相同于细长通道布置6422的部分的细长通道布置6522的那些部分将共享相同的元件编号。 Identical to the elongated channel portions 6422 disposed in those portions of the elongated channel arrangement 6522 will share the same element numbers. 如该图中可见,细长通道6522包括最近侧细长指示器开口6144P"的组合以及圆形均匀间隔开的指示器开口6144的组合,所述最近侧细长指示器开口使临床医生能够在击发触发器的第一行程或致动程序期间观察切割头组件的至少一个引脚或其它部分。因此,细长通道6522采用开槽式狭槽和细长狭槽的组合。上述细长通道布置中的任何一个可结合光源6160,所述光源在本文中结合图33所示的实施方案进行了具体描述,或者上述细长通道布置中的任何一个可在没有光源的情况下使用。 As seen in FIG, elongated channel 6522 comprises a combination of the nearest side of the elongated opening of the indicator 6144P "and an indicator of uniformly spaced circular openings combination 6144, the latest indicator of the elongated side openings enable the clinician in observation of the cutting head assembly during a first stroke of a program or actuated firing trigger at least one pin or the other portions. Thus, the elongated channel 6522 using a combination of a slotted and a slot elongated slot. elongated channel arrangement described above any one light source 6160 may be combined, the light source has been specifically described in connection with the embodiment shown in FIG. 33 herein, or any arrangement can be used in a case without the above-described elongated light channel.

[0419] 其它切割头监视布置可包括例如顺着通道中的开口或顺着通道内部的狭槽投射光的一个或多个光源布置或发光二极管("LED")布置。 [0419] Other cutting head arrangement may comprise monitoring one or more passages along the openings or slots along the internal passage arrangement of the projection light source or light emitting diodes ( "LED"), for example, arranged. 这将极大地增强用户定位切割头在其行程中所处的位置并且确定总行程是否完成。 This will greatly enhance the user to locate the position of the cutting head is located in its stroke and to determine the total travel is complete. 在一些布置中,例如,LED可包括随着切割头顺着通道的推进进一步区分切割头推进而从绿色变为蓝色的多色LED (或其它颜色布置)。 In some arrangements, for example, LED may further comprise advancing a cutting head distinguished from the LED multi-color green to blue (or other color arrangement) with the advance of the cutting head along the path.

[0420] 在各种端部执行器布置中,可能期望的是,采用用于除非未用完的钉仓已可操作地安装在细长通道中否则便防止切割头推进或击发的系统。 [0420] In various end effector arrangement, they may be desirable that, except for using unused staple cartridge is operably mounted in the elongated channel otherwise it would prevent the system from firing the propulsion or the cutting head. 例如,名称为" s UR GIC AL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT"的美国专利6,988,649以及名称为"SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRIN"的美国专利7,044,352公开了各种闭锁系统,所述美国专利各自的全部公开内容以引用方式并入本文。 For example, the name "s UR GIC AL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT", and U.S. Patent No. 6,988,649 entitled "SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRIN" U.S. Patent No. 7,044,352 discloses various locking systems, the U.S. Patent said entire disclosure of each is incorporated herein by reference. 在这种闭锁布置中,切割头或"击发杆"通常被弹簧布置偏置成锁定位置。 In such a locking arrangement, the cutting head or "firing bar" is disposed generally spring biased into a locked position. 在未使用的仓已安装在细长通道中以前,切割头无法以其它方式由外科器械的击发驱动系统推进。 Not used cartridge has been installed in the elongate channel previously, the cutting head can not be advanced by the firing drive system of a surgical instrument otherwise.

[0421] 参见图40至图42,其示出了附接到击发杆6080的切割头6050。 [0421] Referring to FIG. 40 to FIG. 42, which shows a firing bar 6080 attached to the cutting head 6050. 如图所示,击发杆6080为层压构造的。 As shown, the firing rod 6080 to laminate configuration. 然而,击发杆6080可为固体构造的。 However, the firing bar 6080 may be constructed as a solid. 在任一种情况下,击发杆6080都与本文所述或其它已知的外科器械的击发驱动系统可操作地交接。 In either case, the firing rod 6080 are operably interface with the firing drive systems described herein or other known surgical instruments. 击发驱动系统的致动将击发杆6080和切割头6050沿轴向推进穿过安装在细长通道6122内的外科钉仓。 Firing drive system actuating the firing bar 6080 and 6050 of the cutting head is axially advanced through the surgical staple cartridge mounted in the elongate channel 6122. 切割头6050的竖直部分6052包括定位在上端部部分6054与中心钩部分6056之间的组织切割表面6053。 Vertical portion 6052 includes a cutting head 6050 is positioned in the tissue between the central portion 6054 and an upper end portion of the hook portion 6056 cutting surface 6053. 参见图42。 42 Referring to FIG. 上部销或上插片6058从上端部部分6054的每一侧横向延伸。 An upper pin or tab 6058 extending laterally from each side of the upper portion 6054. 上插片6058被构造成能够滑动地接收在砧座内的上通路内,该砧座可操作地安装到细长通道,如下文将进一步讨论。 The inner tab 6058 is configured to be slidably received within the passage of the anvil, the anvil is operably mounted to the elongate channel, as will be further discussed.

[0422] 图41示出了当在细长通道6122内不存在外科钉仓时切割头6050和击发杆6080的位置。 [0422] FIG. 41 shows the position when the surgical staple cartridge is not present within the elongate channel 6122 of the cutting head 6050 and firing bar 6080. 当处于该位置时,击发杆6080和切割头6050被弹簧臂6090在向下方向"D"上偏置,并且被联接到细长通道6122的轴脊柱(未示出)支撑。 When in this position, the firing bar 6080 and cutting head 6050 is spring arm 6090 in a downward direction "D" on the bias, the spine and is coupled to the shaft (not shown) supporting an elongated channel 6122. 如该图中可见,弹簧臂6090与形成在击发杆6080远侧端部中的弹簧尾部6082滑动地接合。 As seen in FIG spring arms 6090 formed in the tail portion of the spring 6080 in the distal end of firing rod 6082 slidingly engage. 当切割头6050处于如图41所示的锁定位置时,弹簧尾部6082的底部部分偏置到形成在细长通道6122上的倾斜表面6123中。 When the cutting head 6050 is in the locked position as shown in FIG. 41, the bottom of the tail portion of the spring 6082 to bias the elongated channel is formed in the inclined surface 6123 of 6122. 如可在图41中进一步所见,当切割头6050处于锁定位置时,假如临床医生无意中试图将切割头6050朝远侧推进或"击发"穿过细长通道6122,则多个或一个下部引脚6070可能接触细长通道6122的底部。 As can be further seen in FIG. 41, the cutting head 6050 when in the locked position, if the clinician attempts to accidentally cutting head 6050 distally advanced or "fired" through the elongate channel 6122, a lower portion of the plurality of lead or pin 6070 may contact the bottom of the elongate channel 6122. 换句话讲,当切割头6050处于锁定位置时,引脚6070不与细长通道6122中的内部通路6030对齐,并且因此切割头组件6050可不在其中轴向地推进。 In other words, the cutting head 6050 when in the locked position, the pin 6070 is not aligned with the internal passage 6030 of the elongate channel 6122, and therefore the cutting head assembly 6050 may advancing axially therein. 临床医生将通过观察引脚6070在近侧开口6040内的位置而知道切割头被锁定。 And know that the cutting head is locked in the position of opening 6040 at the proximal clinician observation by pins 6070.

[0423] 图40示出了当未用完的外科钉仓已可操作地支撑在细长通道6122内时切割头6050和击发杆6080的位置。 [0423] FIG. 40 shows the position of the cutting head 6050 and firing bar 6080 when the unspent staple cartridge has been surgical operably supported within the elongate channel 6122 when. 尽管图40未示出外科钉仓的主体,但示出了楔形滑动件组件6078。 Although not shown in FIG. 40 the surgical staple cartridge body, but showing the wedge sled assembly 6078. 应当理解,楔形滑动件组件6078将在未击发或未使用的钉仓中处于图40所示的位置。 It should be appreciated that the wedge sled assembly 6078 in the position shown in FIG. 40 or the use of unfired staple cartridge. 当处于该位置时,楔形滑动件组件6078与切割头6050上的钩部分6056接合以在向上方向(图40中的箭头"U")上将切割头6050抬升至一点,在该点处,当切割头6050朝远侧推进时, 其上的引脚6070将进入细长通道6122中的内部通路6030。 When in this position, the hook portions on the wedge sled assembly 6078 engages the cutting head to 60,506,056 in the upward direction (arrow in FIG. 40 "U") on raising the cutting head to a point 6050, at which point, when the cutting head 6050 is advanced distally, the pin 6070 will enter the internal passage 6030 of the elongated channel 6122. 当采用具有闭合按钮或基本上闭合的按钮(诸如本文所述的那些)的细长通道时,可能意想到的是发生尺寸堆叠情况,在该情况下,当使用端部执行器来切割和缝合极薄组织时,通道底部与一个或多个刀引脚之间可能发生干扰。 When the elongated channel having a close button or buttons (such as those described herein) are substantially closed, Yi Xiangdao may happen that the size of the stack, in this case, when the end effector to cut and staple when very thin tissue, the bottom of the channel between one or more pins and knives interference may occur. 如果例如组织过薄,组织压缩阻力可能不足以将砧座推动远离细长通道并紧靠切割头插片装载那两个部件。 If too thin, such as tissue, tissue compression resistance may be insufficient to push the anvil and the elongated channel away from the cutting head against the two tabs loading member. 如果发生这种情况,一个或多个刀引脚可延伸到细长通道底部下方足够远,使得切割头无法朝远侧推进。 If this occurs, the one or more pins may extend into the knife below the bottom of the elongated channel far enough so that the cutting head can not be advanced distally. 图40和图41中所示的切割头组件6050和细长通道布置6122可防止这种情况发生。 FIGS. 40 and cutting head assembly 6050 and the elongated channel arrangement 6122 shown in FIG 41 can prevent this situation.

[0424] 如图40和图41中可见,例如,每个引脚6070的远侧端部可具有形成于其上的倒角6072。 [0424] As shown in FIGS. 40 and 41 can be seen, for example, the distal end portion of each pin 6070 can have a chamfer 6072 is formed thereon. 倒角6072被构造成能够当切割头6050朝远侧推进以使引脚6070进入内部通路6030时接合细长通道6122的对应部分。 Chamfer 6072 is configured to be 6050 when the cutting head is pushed distally so that the pins 6070 into the internal passageway 6030 when the elongated channel engages a corresponding portion 6122. 因此,倒角6072形成有助于将引脚6070引导到通路6030中的小"引入"斜坡。 Thus, the chamfer 6072 is formed to aid in guiding pin 6070 in the small passage 6030 "into" the slope. 同样如图40和图41中可见,细长通道6122的限定内部通路6030的远侧端部6131的部分可于其上具有倒角6133或否则如图所示倾斜。 Also as can be seen in FIGS. 40 and 41, the internal passage defining an elongated passageway 6122 of the distal end portion 61316030 thereon may be inclined or chamfered as shown or 6133 in FIG. 在可供选择的布置中,引脚6070 (或单个引脚)可设置有倒角6072,或者内部通路6030的近侧端部部分6131可设置有倒角6133,或者两种倒角布置可如图40和图41中所示那样提供。 In an alternative arrangement, the pins 6070 (single or pins) may be provided with a chamfer 6072, 6131 or the proximal end portion of the internal passageway 6030 may be provided with a chamfer 6133, or both may be arranged as the chamfered as provided in Figure 40 and 41 shown in FIG.

[0425] 图43和图44示出了端部执行器7016,该端部执行器可类似于例如端部执行器16或300或本文所公开的其它端部执行器。 [0425] FIG. 43 and FIG. 44 shows an end effector 7016, the end effector may be similar to the other end portion of the end effector 16 or 300 or disclosed herein, for example. 在该布置中,闭合管或套管7028于其中具有一系列指示器开口7144,所述指示器开口使临床医生能够通过所述指示器开口观察击发杆6080。 In this arrangement, closure tube or sleeve having a series of indicator 7028 in the opening 7144, the indicator opening enables a clinician to observe the firing bar 6080 through the indicator opening. 击发杆6080可于其上设置有状态标记6084,在击发杆6080朝远侧推进时,临床医生可通过指示器开口7144观察所述状态标记。 Firing bar 6080 may be provided thereon with a status flag 6084, when the firing rod 6080 distally advance, the clinician may observe through the indicator of the state of the flag 7144 opening. 状态标记6084可简单地包括涂漆标记或将用作参考标记的其它特征结构。 Status flag 6084 may simply comprise a painted mark or other features as a reference mark. 在一个布置中,状态标记6084包括由端部执行器7016附接到的外科器械或外科系统中的电源供电的一个或多个发光二极管(LED)或其它光源。 In one arrangement, the state flag 6084 comprises a power supply system of a surgical instrument or surgical end effector 7016 is attached to the one or more light emitting diodes (LED) or other light source.

[0426] 图45示出了另一端部执行器7016,其中闭合套管片段7030包括指示器窗口7032, 该指示器窗口使临床医生能够确定切割头是否处于其锁定位置。 [0426] FIG. 45 shows another end effector 7016, wherein the closure sleeve segment 7030 includes an indicator window 7032, the indicator window enable the clinician to determine whether the cutting head in its locked position. 在此布置中,如果临床医生可通过指示器窗口7032看到弹簧尾部6082,则切割头不处于其锁定位置。 In this arrangement, if the clinician can be seen through the indicator window spring tail 70326082, the cutting head is not in its locked position. 如果临床医生无法通过指示器窗口7032看到弹簧尾部6082,则切割头处于其锁定位置。 If the clinician can not see the spring 7032 the tail of 6082 through the indicator window, the cutting head is in its locked position. 在可供选择的布置中,指示器窗口7032可设置在这样的位置中(例如,闭合套管片段中靠下),使得如果弹簧尾部6082通过指示器窗口7032可见,则切割头处于其锁定位置,并且如果弹簧尾部6082通过指示器开口不可见,则切割头不处于其锁定位置。 In an alternative arrangement, the indicator window 7032 may be provided at such a position (e.g., the closure sleeve against the lower segment), such that if the tail of the spring 6082 is visible through the indicator window 7032, the cutting head is in its locked position and if the tail portion of the spring 6082 is not visible through the indicator opening, the cutting head is not in its locked position. 为了协助临床医生确定切割头的位置, 切割头可以特定亮度或荧光色提供。 To assist the clinician in determining the position of the cutting head, the cutting head may provide a particular fluorescent color or brightness. 这些颜色布置可以例如是基于镭的。 These may for example be based on color arrangement radium. 此外,切割头的颜色可沿着其长度变化以使得临床医生能够容易地探知其位置。 Further, the color of the cutting head is movable along its length so that the clinician can easily ascertain its position.

[0427] 图47示出了砧座7020,该砧座包括多个或一系列的指示器开口7044,所述指示器开口提供到通道7022中的观察,切割头6050上的上端部部分6054轴向穿入到该通路中。 [0427] FIG. 47 shows an anvil 7020, the anvil includes a plurality of openings or a series of indicator 7044, the indicator opening to provide a viewing channel 7022 in the upper end portion of the cutting head on the shaft 6050 portion 6054 to penetrate into the passage. 在图47所示的实施方案中,指示器开口7044具有圆形形状并且沿砧座7020的长度均匀间隔开。 In the embodiment shown in FIG. 47, the indicator having a circular shape and the opening 7044 along the length of the anvil 7020 evenly spaced apart. 在图48所示实施方案中,指示器开口7044在砧座7020的近侧端部处更靠近于一起间隔开。 In the embodiment shown in FIG. 48, the indicator 7020 of the opening 7044 at the proximal end of the anvil is closer together in spaced apart. 指示器开口7044之间的间隔随着在砧座7020中朝远侧运动而逐渐增大。 Indicator 7044 as the spacing between the openings in distal movement of the anvil 7020 China and Korea gradually increases. 然而,指示器开口7044的尺寸、形状和间隔可变化。 However, the indicator of the size of the opening 7044, shape and spacing may vary. 参见图42,指示器构件6059可设置在切割头6050的顶端部6054中。 Referring to FIG. 42, the indicator member 6059 may be disposed at the tip portion of the cutting head 6050 of 6054. 在一个实施方案中,指示器构件6059包括可通过穿过击发杆6080的导体6081从外科器械获得电力的一个或多个发光二极管或其它光源。 In one embodiment, the indicator member 6059 includes obtaining one or more light emitting diodes or other light source of power from a surgical instrument passed through by the conductor 60816080 firing bar. 此类布置使临床医生能够在切割头6050推进穿过端部执行器时通过砧座7020中的指示器开口7044观察指示器构件6059的位置。 Such arrangement enables the clinician to position 7044 of the indicator member 6059 viewed through the opening 7020 in the anvil when the cutting head pointer 6050 is advanced through the end effector. 在其它布置中,可不在切割头中提供指示器构件(发光二极管、灯)。 In other arrangements, not providing an indicator member (LED, lamps) in the cutting head. 然而,切割头的顶端部可以将提高其通过砧座中的指示开口的可视性的颜色或荧光标记提供。 However, the tip portion of the cutting head may enhance the visibility of the color or fluorescence by the anvil to provide indicia indicative of the opening. 例如,颜色可以是基于镭的。 For example, color may be based on radium. 切割头可另选地设置有经激光划线的构件,以提供用于确定切割头在通道或砧座内的位置的装置。 The cutting head may alternatively be provided by means of laser scribing, to provide a cutting device location within the channel head or anvil for determining.

[0428] 图46所示的砧座7020使用通常指定为7200的指示器系统。 Anvil shown in [0428] FIG. 467,020 use indicator system generally designated 7200. 在此实施方案中,指示器系统7200包括至少在其于设置在砧座7020中的狭槽7021中的近侧端部7204处轴颈连接的柔性条带或波形弹簧7202。 In this embodiment, the indicator system includes a flexible strip at least 7200 in the slots 7021 in which the anvil 7020 is provided in the proximal end 7204 connected with the journal or wave spring 7202. 波形弹簧7202延伸砧座7020的长度且与具有穿过其的指示器开口7044的砧座7020的部分至少同延。 Wave spring extending the length of the anvil 7202 and 7020 having an opening portion through which an indicator 7044 of the anvil 7020 is at least coextensive. 如图46中可见,一系列指示器构件7206附接到柔性条带7202使得每个指示器构件7206滑动地支撑在对应的指示器开口7044中。 Seen in FIG. 46, a series of indicator member 7206 attached to the flexible strip 7202 such that each indicator member 7206 slidably supported in the openings 7044 corresponding to the pointer. 每个指示器构件7206初始地支撑在其对应的指示器开口7044中使得其不从指示器开口突出。 Each indicator member 7206 is supported in its initially opening of the corresponding indicator 7044 so that it does not protrude from the indicator opening. 换句话讲, 波形弹簧7202被构造成能够使得指示器构件7206偏置到初始位置,在该初始位置中,指示器构件不从其相应的指示器开口7044突出。 In other words, the wave spring 7202 is configured to be biased such that the indicator member 7206 to the initial position, the initial position, the indicator member does not open its respective indicator 7044 protrudes. 然而,当切割头6050朝远侧推进穿过端部执行器时,切割头6050的顶部部分6054沿波形弹簧7202的底部滑动并用于向上偏置波形弹簧7202使得当切割头在波形弹簧7202的附接有指示器构件7206的一部分下方滑动时,指示器构件7206被使得从指示器开口7044突出,如图46所示。 However, when the cutting head 6050 is advanced distally through the end effector, the cutting head 6050 of the top portion 6054 slides along the bottom of the wave spring 7202 and a wave spring 7202 is biased upwardly such that the wave spring 7202 is attached when the cutting head when connected with the lower part of the indicator member 7206 slides such that the indicator member 7206 is indicator 7044 protrudes from the opening 46 as shown in FIG. 因此,临床医生可通过注意哪个指示器构件7206从其指示器开口7044突起来监视切割头6050在端部执行器内的位置。 Accordingly, the clinician may notice which the indicator member 7206 through the opening 7044 from the indicator protrusions monitoring the position of the cutting head 6050 within the end effector.

[0429] 因此,本文所公开的细长通道布置中的几个提供优于现有细长通道布置的巨大改进。 [0429] Thus, the elongated channel arrangement disclosed herein provide several significant improvements than conventional elongated channel arrangement. 例如,所述细长通道布置中的至少一些不使用延伸穿过通道的底部表面的细长狭槽。 For example, the elongated channel arrangement does not use at least some of the elongated slots extending through the bottom surface of the passage. 因此,这种细长通道布置往往较硬且在操作期间抗扩展。 Therefore, this arrangement tends to elongate channel stiff and resistant to expansion during operation. 这些优点也已被实现,同时还为临床医生提供了用于监测切割头进程的方式。 These advantages have also been achieved, while also providing a way to monitor the progress of the cutting head clinicians. 例如,一些细长通道布置提供沿着通道的长度的周期可视性以通知临床医生切割头在击发循环中所处的位置。 For example, some of the elongated channel arrangement provides visibility to inform the clinician positions the cutting head is located in the firing cycle period length along the channel. 当切割头处于完全部署位置时,以及当切割头处于完全回缩位置时,至少一些所述细长通道布置还使临床医生能够看到切割头的至少一部分。 When the cutting head is in a fully deployed position, and when the cutting head is in the fully retracted position, at least some of the elongated channel arrangement also allows the clinician to see at least a portion of the cutting head. 此外,至少一些所述通道和/或砧座布置提供从端部执行器的侧部或顶部对切割头的至少一部分的可视性,或者以其它方式提供用于从端部执行器的侧部或顶部探知切割头位置的方式。 In addition, at least some of said channels and / or the anvil are arranged to provide visibility from the side portion or top end of the at least a portion of the cutting head, or to provide for the side portions from the end effector otherwise ascertaining the position of the cutting head or top manner.

[0430] 如上所述,外科钉仓将一系列钉驱动器可操作地支撑于其中,所述钉驱动器各自将一个或多个外科钉支撑于其上。 [0430] As described above, the surgical staple cartridge series of staple drivers operably supported therein, each said staple driver, one or more surgical staples supported thereon. 钉驱动器支撑于在仓体内被布置成线性取向的相应形状的钉凹坑中。 Staple drivers are arranged to support a corresponding shape in the linear orientation of the staple cartridge body pits. 外科钉活动地支撑在驱动器上,使得当驱动器在仓中被向上驱动时,钉被驱动穿过夹持在仓与砧座之间的组织并与砧座的底侧接触。 The surgical staple movably supported on the drive, so that when the drive is driven upwards in the cartridge, the staples are driven through the clamped tissue between the cartridge and the anvil and the anvil in contact with the bottom side. 当砧座被打开时,钉与缝合组织保持在一起。 When the anvil is opened, the suture staples tissue together. 由于钉"松散地"支撑在其钉驱动器上的其相应凹坑中,因此如果在使用前,钉仓被意外上下颠倒,则钉可能意想得到地从钉仓中掉出。 Since the nail "loosely" is supported in its respective staple driver recesses in which, prior to use, if so, the cartridge is accidentally turned upside down, the staple may conceivably intended to fall out from the staple cartridge. 为避免这种情况发生,仓盖通常在使用前可移除地附接到仓体。 To prevent this from happening, before use generally cover removably attached to the cartridge body. 当附接到仓时,仓盖覆盖钉凹坑以将钉保持在其中,而不管仓的位置如何。 When the cartridge is attached, the cover covering the staple pockets to staples held therein, regardless of the position of the cartridge. 当临床医生期望将仓安装到端部执行器中时,可在安装前移除盖。 When the clinician desires to install the cartridge into the end effector, the cover may be removed before installation.

[0431] 如上文已进一步讨论,钉驱动器在仓内被与切割头组件一起朝远侧驱动的楔形滑动件依次向上驱动。 [0431] As already discussed further, the staple driver is driven distally along the cutting head assembly in a cartridge in turn drives the wedge slide upward. 在至少一些布置中,楔形滑动件因此在击发前在未使用的仓中被取向成最近侧"开始"位置。 In at least some arrangements, the wedge sled so before firing are oriented closest side "start" position in the cartridge unused. 实际上还如上文所讨论,至少一些布置需要楔形滑动件(当处于其开始位置时)与切割头(当处于其锁定位置时)之间的相互作用以便将切割头移出锁定位置以使其准备好击发。 As discussed above, actually, at least some arrangements need to slide the wedge (when in its starting position) and the cutting head (when in its locked position) so that the interaction between the cutting head out of the locking position so as to prepare good firing. 然而,在至少一些先前布置中,仓缺乏用于确保楔形滑动件在使用前保持在其开始位置的装置或结构。 However, at least some of the foregoing arrangements, the cartridge for securing the lack prior to use wedge sled in its start position holding device or structure. 图64和图65中示出的仓盖7250可处理此类问题。 FIGS. 64 and 65 shown in FIG cover 7250 can deal with such problems.

[0432] 图64示出了具有仓体7222的外科钉仓7220,该仓体在纵向延伸的狭槽7224的每个侧面上将多个钉驱动器可操作地支撑于其中(未示出)。 [0432] FIG. 64 shows a surgical staple cartridge having a cartridge body 7222 of 7220, on each side of the cartridge body on a plurality of staple drivers extending longitudinal slot 7224 is operably supported therein (not shown). 纵向延伸的狭槽7224能够有利于切割头纵向行进穿过仓。 A longitudinally extending slot 7224 can facilitate travel longitudinally through the cutting head cartridge. 如可在图65中所见,仓7220还支撑与仓体7222的近侧端部相邻的处于开始位置的楔形滑动件7230。 As can be seen in FIG. 65, the cartridge 7220 further supports the proximal end of the cartridge body 7222 adjacent to the wedge sled 7230 in a starting position. 图64和图65还示出了包括顶部部分7252的仓盖7250,所述顶部部分被构造成能够当仓盖7250安装在仓7220上时覆盖仓平台7226。 64 and FIG. 65 also shows a cartridge comprising a top portion 7252 of the cover 7250, the top portion is configured to be able to cover 7250 when the cartridge 7220 is mounted on the platform 7226 when the cartridge cover. 更具体地,顶部部分7252能够在顶部部分7252处于"覆盖位置"时覆盖仓体7222的平台7226中的所有紧固件腔开口。 More specifically, the top portion 7252 is capable of covering all the chambers fastener cartridge body 7222 of the platform 7226 when the "covering position" opening 7252 in the top part. 仓盖7250可通过能够保持地接合仓体7222的一对柔性附接臂7254可移除地附连到钉仓7220。 Cover 7250 can be maintained by engaging a pair of flexible attachment arm 7254 of the cartridge body 7222 may be removably attached to staple cartridge 7220. 临床医生可容易通过将柔性附接臂7254撬开成不与仓体7222保持接合来移除仓盖7250。 The clinician can easily pass through the flexible attachment arm 7254 so as not to pry the cartridge body 7222 remains engaged with the cover 7250 removed. 仓盖7250还可包括用来定位在仓7220上处于期望位置的仓盖7250的一对向下延伸的侧面板7255。 7250 may also include a cover for positioning the cartridge in a desired position on the cartridge cap 7220 7250 one pair of side panels extending downwardly 7255. 例如,侧面板7255可被定位成接合在仓平台7226的各侧上形成的侧向延伸的唇缘7227。 For example, the side plates 7255 may be positioned to engage the laterally extending lip is formed on each side of the platform 7226 of the cartridge 7227. 仓盖7250还可包括居中设置的定位鳍7256,该定位鳍被取向成当仓盖7250如图65所示附接到仓7220时,接收在纵向延伸的狭槽7224中。 7250 may also include a cover 7256 disposed centrally positioned fin, the fin being positioned to be attached to the alignment head cartridge 7250 when the cartridge 7220 shown in Figure 65, the receiving slot extending longitudinally in 7224. 定位鳍7256包括接合凹口7258 或一个或多个其它形成物,所述接合凹口或一个或多个其它形成物被构造成能够保持接合楔形滑动件7230的一部分并将楔形滑动件7230保持在其开始位置。 7256 comprises a positioning fin engaging recess 7258 is formed or one or more other objects, the engagement recess or one or more other formations are configured to engage a portion capable of holding the slide member and the wedge of the wedge sled 7230 is held at 7230 its starting position. 因此,当仓盖7250安装到钉仓7220上时,钉保持在其相应凹坑内,而不管仓7220的取向如何。 Thus, when cover 7250 is mounted to the staple cartridge 7220 when the staples held within their respective recesses, regardless of the orientation of the cartridge 7220. 此外,楔形滑动件7230保持在其开始位置。 Further, wedge sled 7230 is held in its starting position. 在各种布置中,定位鳍可相对于纵向延伸的狭槽7224设定尺寸以在它们之间建立摩擦配合。 In various arrangements, the positioning fin 7224 may be sized relative to the longitudinally extending slots to establish a friction fit therebetween. 在此类布置中,摩擦配合可用于将盖7250在仓7220上保持就位而无需使用附接臂7254。 In such an arrangement, a friction fit may be used to cap 7250 in place on the cartridge 7220 without the use of the attachment arm 7254. 在其它布置中,在定位鳍7256与仓体7222以及附接臂7254之间建立的摩擦配合可用于将盖7250保持在覆盖位置中的仓体7222上。 In other arrangements, the fins positioned between 7256 and 7222 and establish a friction fit attachment arm 7254 of the cartridge body 7250 may be used to cover the cartridge body 7222 held in the covering position. 此外,可在定位鳍7256上形成保持肋7257以进一步与仓体7222建立摩擦配合。 In addition, the holding rib 7257 may be formed to further establish a friction fit with the cartridge body on the positioning fin 7222 7256. 另外,如可在图65中所见,外科钉仓7220的远侧端部7221可具有相对于仓平台7226成角度地取向的前缘表面7223。 Further, as can be seen in FIG. 65, the distal end portion 7220 of the surgical staple cartridge 7221 may have a leading edge surface 7223 relative to the cartridge 7226 internet angularly oriented. 在各种布置中,仓盖7250还可包括能够保持地接合外科钉仓7220的远侧端部7221的前缘部分7251。 In various arrangements, the cover 7250 may further comprise a leading edge portion of the distal end of the surgical staple cartridge 7220 7221 7251 capable of holding the engagement portion. 例如,前缘部分7251可被构造成能够覆盖仓7220的前缘表面7223并且包括被布置成以钩的形式接合仓7220的远侧端部7221的远侧保持插片7253。 For example, the leading edge portion 7251 may be configured to be able to cover the leading edge surface 7223 and the cartridge 7220 includes a form of a hook arranged to engage a distal portion of the distal end of the cartridge 7220 7221 7253 holding tabs. 此外,可在前缘部分7251上形成脱离插片或突起7259以有利于保持插片7253与仓7220的脱离。 Further, the projections or tabs formed from 7259 to 7253 and from 7220 to facilitate holding the cartridge tab 7251 on the leading edge portion. 因此,在某些布置中,仓盖7250的远侧端部能够允许其吸收俯冲下降的全力并且将该力直接传递至仓7220,而几乎没有盖7250相对于仓体7222的纵向运动。 Thus, in some arrangements, the distal end portion of the cover 7250 can allow full absorption and decrease the dive force is transmitted directly to the positions 7220, 7250 and virtually no longitudinal movement of the cartridge body 7222 to the cover. 这种布置用来防止盖7250在这种条件下朝近侧移动滑动件7230。 This arrangement serves to prevent the cap 7250 in this condition movement of the slider 7230 proximally. 当临床医生期望使用仓7220时,移除仓盖7250。 When the clinician desires to use the cartridge 7220, cover 7250 is removed. 在至少一些布置中,可以与接收在钉仓7220内的钉的尺寸对应的特定颜色提供仓盖7250。 In at least some arrangements, may be provided with a cover 7250 received in a specific color corresponding to the size of the staples in the staple cartridge 7220.

[0433] 如上文所详细讨论,在各种实施方案中,外科钉支撑在"驱动器"中,所述驱动器可操作地支撑在形成到钉仓的主体中的凹坑中。 [0433] As discussed in detail above, in various embodiments, the surgical staples supported in "Drive", the driver is operably supported in the staple cartridge body is formed into the pits. 可使用各种形式的驱动器。 Using various forms of drive. 例如,驱动器可被构造成能够支撑单个外科钉,而其它驱动器可支撑多个外科钉。 For example, the driver may be configured to be able to support a single surgical staple, and other drives may support a plurality of surgical staples. 驱动器以纵向延伸的排支撑在仓体中,所述纵向延伸的排设置在居中设置的细长狭槽的每一个侧面上,所述细长狭槽容纳从其中穿过的切割构件或切割头的通路。 Drive to the array of supports extending longitudinally in the cartridge body, the longitudinally extending rows disposed on each side of the elongated slot centrally disposed, elongated slot to accommodate the cutting member through which the cutting head or pathway. 如本文先前所讨论,切割头包括楔形滑动件或与楔形滑动件配合,所述楔形滑动件被构造成能够依次接触驱动器以将它们在其凹坑中向上驱动。 As discussed previously herein, the cutting head comprises a wedge sled, or wedge sled member fitted with the wedge sled configured to be in contact with the driver to sequentially drive them up in their pits. 当驱动器在钉仓中向上运动时,支撑在其上的一个或多个外科钉被向上驱动穿过夹紧在仓与砧座之间的组织并且与砧座的底侧形成接触。 When the actuator is moved upward in the cartridge, the support on which one or more surgical staples are driven upward through the cartridge is clamped between the anvil and the tissue and into contact with the bottom side of the anvil.

[0434] 如已知,砧座的底侧包括"钉形成"表面,所述"钉成形"表面通常包括被布置成由钉腿的端部接触的一系列钉成形凹坑。 [0434] As is known, the bottom side of the anvil comprises "staple forming" surface, the "staple forming" surface typically comprises a series of staples arranged in an end portion of the staple legs contact forming pockets. 凹坑被设置和成形为使得当由钉腿接触时,迫使腿部围绕凹坑弯曲而最终形成大致类似于"B形"的闭合钉。 Dimples are shaped and arranged such that when contacted by the staple legs, the leg is bent around forcing pits are formed substantially similar to the final "B-shaped" closed staples. 成形过程期间的钉腿不对齐可导致钉成畸形,这在严重情况下可导致不期望的泄漏。 The staple legs during the forming process may result in misalignment of the staples into deformities, which can lead to undesirable leakage in severe cases. 图94和图95中示出的钉驱动器构型可有助于在击发过程期间保持钉对齐。 FIGS. 94 and 95 shown in FIG staple driver configurations may help maintain alignment during the staple firing procedure. 此外,如果在击发过程中,驱动器在其相应凹坑内不保持适当对准,则必须产生较高击发力来击发支撑在其上的钉。 Also, if during firing, the driver does not maintain proper alignment within their respective recesses, higher firing force must be generated to fire the staples supported thereon.

[0435] 图94和图95示出了"双"钉驱动器7300。 [0435] FIG. 94 and FIG. 95 shows a "double" staple driver 7300. 如那些图中可见,钉驱动器7300包括第一驱动器部分7310和第二驱动器部分7350,第一驱动器部分和第二驱动器部分以"交错"的取向由居中设置的隔板部分7340分隔。 As seen in those figures, the staple driver 7300 comprises a first driver portion 7310 and the second driver portion 7350, the first driver portion and the second portion of the wall to drive a "staggered" alignment provided by the intermediate portion 7340 separated. 钉驱动器7300可为一体式构造的,且例如由合适的聚合物材料模制而成。 Staple drivers 7300 may be a one-piece construction, and for example molded from a suitable polymeric material molded. 第一驱动器部分7310包括居中设置的第一腔7312,该第一腔将第一驱动器7310划分成第一近侧竖立支撑部分7320和第一远侧竖立支撑部分7330。 The first portion 7310 includes a driver 7312 a first chamber centrally located, the first cavity of the first driver 7310 into a first proximal upstanding support portion 7320 and the first distal upstanding support portion 7330. 第一近侧竖立支撑部分7320具有第一近侧主体部分7321,所述第一近侧主体部分具有上端部部分7322, 所述上端部部分具有在其中形成的第一近侧底座节段7324。 First proximal upstanding support portion 7320 having a first proximal body segment 7321, the first proximal body portion has an upper portion 7322, an upper portion of the proximal base portion having a first segment 7324 formed therein. 相似地,第一远侧竖立支撑部分7330具有第一远侧主体部分7331,所述第一远侧主体部分具有第一远侧端部7332,所述第一远侧端部具有在其中形成的第一远侧底座节段7334。 Similarly, the first distal portion 7330 has a first upright support body distal portion 7331, distal to the first body portion having a first distal end portion 7332 of the first distal end portion having formed therein The first section 7334 of the distal base. 第一近侧底部节段7324和第一远侧底座节段7334对准且能够在其中支撑外科钉的基部。 First proximal section 7324 and the first bottom base distal section 7334 can be aligned and in which the support base of the surgical staple. 如图94中进一步可见,当从上方观察时,第一近侧竖立支撑部分7320具有稍渐缩的形状。 Further seen in Figure 94, when viewed from above, the first support portion 7320 has a proximal upright is slightly tapered shape. 换句话讲,第一近侧竖立支撑部分7320具有第一近侧端部7326,所述第一近侧端部具有小于第一近侧主体部分7321的中心宽度"CW"的宽度"PW"。 In other words, a first proximal upstanding support portion 7320 has a first proximal end 7326 of the first proximal end portion having a width less than the central body portion 7321 of the first proximal "CW" width "PW" . 同样,第一远侧竖立支撑部分7330具有第一远侧端部7336,所述第一远侧端部具有小于第一远侧主体部分7331的中心宽度"CW"的远侧宽度"DW"。 Similarly, the first distal portion 7330 has a first upright support a distal end portion 7336 of the first distal end portion having a width less than the central body portion 7331 of the first distal "CW" distal width "DW". 在至少一个布置中,远侧宽度"DW"等于近侧宽度"PW"。 In at least one arrangement, distal width "DW" equal side width "PW".

[0436] 仍参见图94,第二驱动器部分7350包括居中设置的第二腔7352,该第二腔将第二驱动器部分7310划分成第二近侧竖立支撑部分7360和第二远侧竖立支撑部分7370。 [0436] Still referring to FIG. 94, the second driver includes a second portion 7350 of the cavity 7352 disposed centrally, the second chamber of the second driver portion 7310 is divided into a distal portion 7360 and a second proximal upstanding portion of the second supporting upright support 7370. 第二近侧竖立支撑部分7360具有第二近侧主体部分7361,所述第二近侧主体部分具有上端部7362,所述上端部具有在其中形成的第二近侧底座节段7364。 Second proximal upstanding support portion 7360 has a second proximal body portion 7361, the second proximal body portion 7362 having an upper end portion, said upper portion having a second proximal base segment 7364 formed therein. 相似地,第二远侧竖立支撑部分7370具有第二远侧主体部分7371,所述第二远侧主体部分具有第二远侧端部7372,所述第二远侧端部具有在其中形成的第二远侧底座节段7374。 Similarly, the second distal portion 7370 has a second upright support body distal portion 7371, distal to the second body portion having a second distal end portion 7372, the second distal end portion having formed therein second distal base section 7374. 第二近侧底座节段7364和第二远侧底座节段7374对准且能够在其中支撑另一外科钉的基部。 The second section 7374 is aligned proximal base 7364 and a second distal section and a base which can be supported in the base portion of another surgical staple. 如图94中进一步可见,当从上方观察时,第二近侧竖立支撑部分7360具有稍微渐缩的形状。 Further seen in Figure 94, when viewed from above, the second proximal upstanding support portion 7360 has a slightly tapered shape. 换句话讲,第二近侧竖立支撑部分7360具有近侧端部7366,所述近侧端部具有小于第二近侧主体部分7361的中心宽度"CW"的宽度"PW"。 In other words, the second proximal upstanding support portion 7360 "CW" width "PW" 7366 having a proximal end, said proximal end portion having a second width smaller than the central portion 7361 of the proximal body. 同样,第二远侧竖立支撑部分7370具有远侧端部7376,所述远侧端部具有小于第二远侧主体部分7371的中心宽度"CW"的远侧宽度"DW"。 Similarly, the second distal upstanding support portion 7370 having a distal end portion 7376, the distal end portion having a width less than the central body portion 7371 of the second distal "CW" distal width "DW". 因此,第一驱动器部分7310 和第二驱动器部分7350具有相似的形状。 Thus, the first driver portion 7310 and the second driver portion 7350 has a similar shape.

[0437] 为在击发过程中向钉驱动器7300提供更大的稳定性,第一驱动器部分7310和第二驱动器部分7350可进一步提供有与钉仓主体中的互补形状的钉凹坑配合的稳定器布置。 [0437] To provide greater stability to the staple driver 7300 in the firing process, the first driver portion 7310 and the second driver 7350 may be further provided with a portion cooperating with complementary shaped recesses staple cartridge body stabilizer arrangement. 例如,第一钉驱动器部分7310可具有在其第一近侧端部7326上形成的第一近侧组7327侧向突起的支撑柱7328,7329。 A first proximal lateral support column 7327 set e.g., the first staple driver portion 7310 may have a proximal end 7326 thereof a first projection formed in 7328,7329. 还可如图所示在第一远侧竖立支撑部分7330的第一远侧端部7336 上提供第一远侧组7337侧向突起的支撑柱7338,7339。 Providing a first set of support posts distal the 7338,7339 lateral projections 7337 on first distal end portion 7336 of the first distal further upright support portion 7330 as shown in FIG. 同样,第二钉驱动器部分7350可具有在其第二近侧端部7366上形成的第二近侧组7367侧向突起的支撑柱7368,7369。 A second set of proximal Similarly, the second staple driver portion 7350 may have at its second proximal end 7367 of the support post 7366 formed lateral projections 7368,7369. 还可如图所示在第二远侧竖立支撑部分7370的第二远侧端部7376上提供第二远侧组7377侧向突起的支撑柱7378,7379。 Providing a second set of support posts 7377 side to the second distal end of the distal portion 7376 may also support a second distal portion of upright 7370 as shown on the projection 7378,7379.

[0438]如上文所指出,钉驱动器7300与互补形状的钉凹坑被活动地支撑在钉仓中。 [0438] As noted above, the staples 7300 and the staple driver recesses of complementary shape is movably supported in the staple cartridge. 当楔形滑动件朝远侧驱动时,其对应部分以驱动方式接触居中设置的隔板部分7340并将驱动器7300向上驱动。 When the wedge sled driving member distally, the corresponding contacting portion is drivingly disposed centrally of the spacer portion 7340 and the driver 7300 driven upward. 侧向突起的支撑柱7328,7329,7338,7339,7368,7369,7378和7379中的每一个都接收在钉仓体中相应形状的沟槽中,并且用于保持驱动器7300的对齐并防止在驱动器朝着砧座推进期间驱动器扭转。 Support posts each lateral projections 7328,7329,7338,7339,7368,7369,7378 and 7379 are received in the staple cartridge body in a correspondingly shaped groove, and for maintaining alignment of the driver and prevent 7300 drive towards the anvil during the drive to reverse propulsion. 在一个布置中,驱动器7300由固体材料模制而成或以其它方式形成。 In one arrangement, the driver 7300 is formed of a solid material or a molded otherwise. 然而,在其它布置中,第一驱动器部分7310和第二驱动器部分7350可以是空心的,以使驱动器7300的这些部分能够稍微具有柔性和柔顺性,从而进一步保持驱动器在其相应凹坑中的对准并且从而进一步降低所需的驱动力。 However, in other arrangements, the first driver portion 7310 and the second driver portion 7350 may be hollow so that drive these portions 7300 can be slightly have flexibility and compliance to further sustain driver pair in their respective pits quasi and thereby further reducing the required driving force. 在任一个布置中,通过提供两个驱动器部分的两个端部上的对准柱,进一步增强驱动器在其相应凹坑内的对准。 In either arrangement, the drive portion by providing two alignment posts on both ends, to further enhance the alignment of the drive in its respective pits.

[0439]图96示出了另一个"双"钉驱动器7400,所述"双"钉驱动器被构造成能够接收在形成于外科钉仓主体中的互补形状的钉凹坑中。 [0439] FIG. 96 illustrates another "double" staple driver 7400, the "double" staple driver is configured to be received in recesses formed in the surgical staple cartridge body of a complementary shape. 如可在图96中所见,钉驱动器7400包括由居中设置的隔板部分7440分隔成"交错"取向的第一驱动器部分7410和第二驱动器部分7450。 As can be seen in FIG. 96, the staple drive portion 7400 includes a spacer 7440 provided by the center is divided into a "staggered" orientations first driver portion 7410 and the second driver portion 7450. 钉驱动器7400可为一体式构造的,且例如由合适的聚合物材料模制而成。 Staple drivers 7400 may be a one-piece construction, and for example molded from a suitable polymeric material molded. 第一驱动器部分7410包括居中设置的第一腔7412,所述居中设置的第一腔将第一驱动器7410分成第一近侧竖立支撑部分7420和第一远侧竖立支撑部分7430。 The first portion 7410 includes a driver 7412 a first centrally disposed cavity, said first cavity disposed centrally of the first driver 7410 into a first proximal upstanding support portion 7420 and first distal upstanding support portion 7430. 第一近侧竖立支撑部分7420具有第一近侧主体部分7421,所述第一近侧主体部分具有上端部7422,所述上端部具有在其中形成的第一近侧底座节段7424。 First proximal upstanding support portion 7420 having a first proximal body segment 7421, the first proximal body portion 7422 having an upper end portion, said upper portion having a first proximal base segment 7424 formed therein. 相似地,第一远侧竖立支撑部分7430具有第一远侧主体部分7431, 所述第一远侧主体部分具有第一远侧端部7432,所述第一远侧端部具有在其中形成的第一远侧底座节段7434。 Similarly, the first distal portion 7430 has a first upright support body distal portion 7431, distal to the first body portion having a first distal end portion 7432 of the first distal end portion having formed therein The first section 7434 of the distal base. 第一近侧底座节段7424和第一远侧底座节段7434对准且能够在其中支撑外科钉的基部。 First proximal base 7424 and the first distal segment of the base section 7434 can be aligned and in which the support base of the surgical staple. 如可在图96中进一步所见,第一近侧竖立支撑部分7420和第一远侧竖立支撑部分各自具有略微渐缩的形状。 As can be further seen in FIG. 96, a first distal portion 7420 and proximal portion of the first supporting upright support each upright having a slightly tapered shape.

[0440] 仍然参见图96,第二驱动器部分7450包括居中设置的第二腔7452,所述居中设置的第二腔将第二驱动器部分7450分成第二近侧竖立支撑部分7460和第二远侧竖立支撑部分7470。 [0440] Still referring to FIG. 96, a second driver portion 7450 includes a second chamber disposed centrally of 7452, a second chamber disposed centrally of said second drive portion 7450 into a second upright support portion 7460 and a proximal second distal upright support portion 7470. 第二近侧竖立支撑部分7460具有第二近侧主体部分7461,所述第二近侧主体部分具有上端部7462,所述上端部具有在其中形成的第二近侧底座节段7464。 Second proximal upstanding support portion 7460 has a second proximal body portion 7461, the second proximal body portion has an upper portion 7462, the upper portion having a second proximal base segment 7464 formed therein. 相似地,第二远侧竖立支撑部分7470具有第二远侧主体部分7471,所述第二远侧主体部分具有第二远侧端部7472,所述第二远侧端部具有其中形成的第二远侧底座节段7474。 Similarly, the second distal portion 7470 has a second upright support body distal portion 7471, distal to the second body portion having a second distal end portion 7472, the second distal end portion having formed therein a first two distal base section 7474. 第二近侧底座节段7464 和第二远侧底座节段7474对准且能够在其中支撑另一外科钉的基部。 The second section 7474 is aligned proximal base 7464 and a second distal section and a base which can be supported in the base portion of another surgical staple.

[0441] 为在击发过程中向钉驱动器7400提供更大的稳定性,第一驱动器部分7410和第二驱动器部分7450可进一步提供有与钉仓主体中的互补形状的钉凹坑配合的稳定器布置。 [0441] To provide greater stability to the staple driver 7400 in the firing process, the first driver portion 7410 and the second driver 7450 may be further provided with a portion cooperating with complementary shaped recesses staple cartridge body stabilizer arrangement. 例如,第一钉驱动器部分7410可具有在第一近侧主体部分7421上形成的第一近侧组7427侧向突起的支撑柱7428,7429。 For example, a first staple driver portion 7410 may have a first proximal set of support post 7427 formed on the first side of the proximal body segment 7421 projections 7428,7429. 还可如图所示在第一远侧竖立支撑部分7430的第一远侧主体部分7431上提供第一远侧组7437侧向突起的支撑柱7438,7439。 Providing a first set of support posts distal the 7438,7439 lateral projections 7437 on first distal body portion 7431 may also support a first distal portion 7430 of the upright as shown in FIG. 同样,第二钉驱动器部分7450 可具有在第二近侧主体部分7461上形成的第二近侧组7467侧向突起的支撑柱7468,7469。 Similarly, the second staple driver portion 7450 may have a set of second proximal support post 7467 formed on the second side of the body portion proximal protrusion 7461 7468,7469. 还可如图所示在第二远侧竖立支撑部分7470的第二远侧主体部分7471上提供第二远侧组7477侧向突起的支撑柱7478,7479。 Providing a second set of support posts distal the 7478,7479 lateral projections 7477 on second distal body portion 7471 may also support a second distal portion 7470 of the upright as shown in FIG.

[0442]如上文所指出,钉驱动器7400与互补形状的钉凹坑被活动地支撑在钉仓中。 [0442] As noted above, the staples 7400 and the staple driver recesses of complementary shape is movably supported in the staple cartridge. 当楔形滑动件被朝远侧驱动时,其相应部分驱动地接触居中设置的隔板部分7440并且将驱动器7400向上驱动。 When the wedge sled is driven distally, contacts the corresponding portion of the drive centrally disposed spacer portion 7440 and the driver 7400 driven upward. 侧向突起的支撑柱7428,7429,7438,7439,7468,7469,7478和7479中的每一者接收于钉仓主体中的相应形状的沟槽中并用来保持驱动器7400的对准并且防止所述驱动器在其朝砧座推进期间扭曲。 Trench shape corresponding to each of the support column 7479 and lateral projections 7428,7429,7438,7439,7468,7469,7478 is received in the cartridge body and for holding in alignment of the driver and prevent the 7400 said drive twisted during its advance toward the anvil. 在一个布置中,驱动器7400由固体材料模制而成或以其它方式形成。 In one arrangement, the driver 7400 is formed of a solid material or a molded otherwise. 然而,在其它布置中,第一驱动器部分7410和第二驱动器部分7450可为空心的以使得驱动器7400的这些部分能够为略微柔性的和柔顺的以进一步保持所述驱动器在其相应凹坑中的对准,从而进一步减少所需的驱动力。 However, in other arrangements, the first driver portion 7410 and the second driver portion 7450 may be hollow so that drive these portions 7400 can be slightly flexible and pliable in order to further maintain the driver in their respective pits aligned, thereby further reducing the driving force required. 在任一个布置中,通过提供两个驱动器部分的两个端部上的对准柱,进一步增强驱动器在其相应凹坑内的对准。 In either arrangement, the drive portion by providing two alignment posts on both ends, to further enhance the alignment of the drive in its respective pits.

[0443] 图97示出了钉仓7500的主体部分7502中形成的钉或驱动器凹坑7510。 [0443] FIG. 97 illustrates a staple or staple cartridge drive body portion 75027500 7510 formed in the pit. 该钉或驱动器凹坑7510被构造成能够将互补形状的"单个"钉驱动器可操作地支撑于其中。 Or the staple driver recesses 7510 are configured to be able to "single" staple drivers operably supported therein complementary shape. 如该图中可见,钉凹坑7510形成有两个向内延伸的近侧柱构件7512,7514和两个向内延伸的远侧柱7516,7518。 As can be seen, the proximal staple pocket 7510 formed with two inwardly extending column members 7512,7514 and column two inwardly extending distal the 7516,7518 FIG. 柱7512、7514、7516和7518能够可滑动地延伸到设置在钉驱动器中的相应侧向沟槽中。 Column 7512,7514,7516 and 7518 can be slidably extend into respective lateral groove provided in the staple drive. 这种驱动器凹坑构型用来提供驱动器在其从凹坑驱动时的进一步稳定和对准。 Such drive pit configuration to provide further stabilize and align the driver when driving from the pits. 尽管图97示出了被构造成能够将单个钉驱动器可操作地支撑于其中的钉或驱动器凹坑,但相同的概念可应用至被构造成能够支撑被构造为支撑多个外科钉的驱动器的那些驱动器凹坑。 Although FIG. 97 illustrates a is configured to be a single staple drivers operably supported therein staple or drive pit, but the same concepts may be applied to be configured to be able to support it is configured to drive support a plurality of surgical staples in those who drive the pit. 例如,图94至图96中示出的驱动器实施方案中所采用的支撑柱可替换为被构造成能够将形成在钉凹坑侧部中的对应柱滑动地接收在仓体中的沟槽。 For example, FIGS. 94 to 96 shown an alternative drive received in the cartridge body is configured to be capable of being formed in the staple pockets pillar side portion corresponding to the groove slidably supporting column embodiment employed in the embodiment.

[0444] 如图94至图96所示,各种驱动器布置基本上可包括驱动器主体或驱动器主体部分,所述驱动器主体或驱动器主体部分包括外表面以及前端和后端。 [0444] FIG 94 to FIG 96, various drive arrangement may include a driver basically drives a body or body portion, the drive body or the drive body portion includes an outer surface and a front end and a rear end. 在各种布置中,外表面的尺寸和形状可被设定成避免与外表面运动地支撑在其中的钉凹坑的内壁的任何部分(除了在钉凹坑上形成的侧向延伸的特征结构/支撑柱)接触。 In various arrangements, the size and shape of the outer surface may be set so as to avoid any portion of the outer surface of the inner wall and movably supported therein staple pockets (except for features formed on the laterally extending staple pocket / support post) contacts. 例如,图96所示的双钉驱动器7400包括第一驱动器部分7410和第二驱动器部分7450。 For example, as shown in FIG double staple driver includes a first driver 967 400 7410 section 7450 and the second driver portion. 第一驱动器部分7410和第二驱动器部分7450可相对于钉凹坑设定尺寸,使得与钉凹坑内壁接触的仅有部分是形成于其上的侧向延伸的特征结构,诸如元件7428,7429,7438,7439,7468,7469。 The first driver portion 7410 and the second driver section with respect to the staple pockets 7450 may be sized such that only a portion in contact with the inner wall of the staple pockets are features extending laterally formed thereon, such member 7428,7429 , 7438,7439,7468,7469. 第一驱动器部分7410的最近侧端部可包括"前端",并且第二驱动器部分7450的最远侧端部可包括"后端"。 Recently side end of the first driver portion 7410 may include a "front end", and the most distal end portion 7450 of the second driver may include a "back end." 在又一个布置中,例如,前端和后端可相对于钉凹坑的接收收所述前端和后端的对应部分设定尺寸, 使得这些端部与其对应凹坑部分之间的间隙小于其它驱动器部分与钉凹坑的其它部分之间的间隙。 In yet another arrangement, for example, a front end and a rear end relative to the corresponding receiving portion sized to close said front and rear ends of staple pockets, such that the gap between the end portion corresponding to the pit portion is smaller than the other driver portion the gap between the other portion of staple pockets. 此类间隙量的尺寸可设定成改善致动期间的驱动器侧向稳定性,而不在驱动器的外表面与钉凹坑的内壁之间建立摩擦配合。 Such an amount of the gap may be set to the size of the drive to improve the lateral stability during actuation, without establishing a friction fit between the inner wall and the outer surface of the staple pocket drives. 在另一个布置中,驱动器可相对于钉凹坑构造(例如,设定尺寸和形状),使得驱动器的与钉凹坑内壁部分接触的一个或多个仅有部分由驱动器的前端和/或后端上的一个或多个形成物(支撑柱)组成。 In another arrangement, the driver may be configured with respect to the staple pockets (e.g., sized and shaped), so that one or more drive only a portion in contact with the inner wall portion of the front end of the staple pit drive and / or rear one or more of the end formations (support column) components. 相反地,在前端和/或后端中可设置一个或多个沟槽,所述沟槽被构造成能够接收钉凹坑内壁部分上的对应形成物,其中这些形成物是在驱动器致动期间驱动器与钉凹坑内壁之间的一个或多个仅有接触点。 In contrast, in the front and / or rear may be provided one or more grooves, the grooves are configured to be able to receive a corresponding portion on the staple pockets formed in the inner wall, wherein the drive formations are actuated during only one or more points of contact between the driver and the inner wall of staple pockets. 如上文所指出,驱动器可大体上以纵向延伸的钉凹坑排支撑在仓体中,所述纵向延伸的钉凹坑排设置在居中设置的细长狭槽的每一个侧面上,所述细长狭槽容纳从其中穿过的切割构件或切割头的通路。 As noted above, the drive to be substantially longitudinally extending row of staple pockets in the cartridge support body, on each side of the elongated slot disposed staple pit row of the longitudinally extending centrally located, the fine long slot receiving passage therethrough of the cutting head or cutting member. 在某些布置中,本文所公开的采用一个或多个支撑柱/侧向延伸的特征结构的各种驱动器可用在位于细长狭槽一侧或两侧上的一个或多个纵向钉凹坑排(或纵向排的部分)中。 In some arrangements, as disclosed herein employ one or more support posts / drive the various features of the laterally extending longitudinally staples using one or more dimples on one or both sides of the elongated slot is located row (or rows of longitudinal section). 例如,细长狭槽每侧上的最靠近仓体边缘的钉凹坑排可包括采用支撑柱/侧向延伸的形成物的驱动器,但其它钉凹坑排可采用常规驱动器。 For example, the staple cartridge body closest to the edge of the pit on each side of the elongated slot may include the use of a support column row / laterally extending drive formations, other rows of staple pockets may be employed conventional driver. 此布置还可与钉凹坑7510-起使用。 This arrangement can also be used with staple pockets from 7510-. 即,钉凹坑7510只可用于细长狭槽的一侧或两侧上的某些纵向排钉凹坑(或纵向排的部分)中。 That is, the staple pockets 7510 may be used for some longitudinal rows of staple pockets (or longitudinal row portions) on one or both sides of the elongated slot.

[0445] 组织流动可为造成钉畸形的问题之一。 [0445] One of nail tissue may flow problems caused malformations. 在缝合期间,组织朝远侧且侧向地流动,其中侧向运动比纵向运动有害。 During suturing, tissue distally and laterally flows, wherein the lateral movement of harmful than longitudinal motion. 利用组织流动和高压缩力,将钉从其相应凹坑侧向地和朝远侧引导。 Flow and tissue by using high compression forces, the staple from their respective recesses distally and laterally guided. 通过收紧驱动器与邻近驱动器的仓部分之间的配合,钉在击发期间向侧面或前面摇摆的能力减弱,因为驱动器摇摆的能力也减弱。 By tightening the engagement between the driver and the adjacent portion of the cartridge drive, the ability to swing to the side or the nail during firing front weakened because the ability to drive swing is also reduced. 本文所公开的各种驱动器和钉凹坑布置用来使这种摇摆最小化。 As disclosed herein and various drivers such that the staple pockets arranged to minimize wobble. 本文所公开的支撑柱/侧向延伸的特征结构可设置在所有驱动器上或简单地设置到特定区域中的驱动器(例如,仓内的外排中的驱动器)。 Disclosed herein support column / features may be provided extending laterally or simply provided to the driver (e.g., the outer row driver within the cartridge) in the specific region on all drives. 此类支撑柱/侧向延伸的特征结构可位于例如驱动器侧部、驱动器端部、或这两者上。 Such support posts / features may be located laterally extending side portion, for example, the drive, the drive end portion, or both. 用于描述本文所公开的驱动器稳定布置的术语"支撑柱"涵盖如本发明附图所示的各种侧向延伸、竖直的细长的形成物。 The term used to describe the drive disclosed herein are stable arrangement "support column" encompasses a variety of side as shown in the drawings of the present invention extends vertically elongated formations. 术语"支撑柱"还可涵盖各种不同形状的侧向延伸的特征结构,所述特征结构被构造成能够活动地接收在设置在钉凹坑内壁中的对应形状的沟槽中(其中支撑柱/侧向延伸的特征结构位于驱动器上的布置)或者接收在各种驱动器部分中(其中支撑柱/侧向延伸的特征结构从钉凹坑内壁突出的布置),以具体情况为准。 The term "support column" may also encompass various features extending laterally of different shapes, the feature is configured to receive a correspondingly shaped groove provided in the inner wall of the staple pockets (which can be movably support column features / arrangement located on a laterally extending drive), or received in one of the drive portion (which features a support column / laterally extending projections from the inner wall of staple pockets arranged), subject to the specific situation. 支撑柱可例如包括单个侧向延伸的特征结构,或者它可包括多个对齐的侧向延伸的特征结构。 Support column may comprise a single feature that extends laterally example, or it may comprise a plurality of features extending laterally aligned. 例如,支撑柱可由柱片段或对齐的部分/形成物组成。 For example, the support posts may be fragments or portions aligned columns / formation composition. 在另一些其它布置中,可使用其它突起形状。 In still other arrangements, protrusions other shapes can be used.

[0446] 就本文所公开的各种实施方案而言,紧固件仓可包括可植入患者体内的材料层。 [0446] For the various embodiments disclosed herein, the fastener cartridge may comprise a layer of material implanted in the patient. 这样的层可包括例如一个或多个支撑材料片和/或一个或多个组织厚度补偿件。 Such layers may comprise, for example, one or more pieces of buttress material and / or one or more tissue thickness compensator. 提交于2011 年4月29日的名称为"STAPLE CARTRIDGE COMPRISING STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF"的美国专利申请序列号13/097,856以引用方式并入本文。 Name filed April 29, 2011 as "STAPLE CARTRIDGE COMPRISING STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF" US Patent Application Serial No. 13 / 097,856 incorporated by reference herein. 现在转到图99至图102,钉仓8000包括仓体8010和可植入层8020。 Turning now to FIGS. 99 to 102, staple cartridge 8000 includes a cartridge body 8010 and layer 8020 may be implantable. 仓体8010包括近侧端部8012、远侧端部8014、以及在近侧端部8012和远侧端部8014之间延伸的平台8016。 The cartridge body 8010 includes a proximal end 8012, a distal end portion 8014, and a platform 8016 between proximal end 8012 and a distal end portion 8014 extends. 平台8016能够在组织被夹紧在钉仓8000与砧座之间时支撑组织。 Platform 8016 can be clamped between the tissue when the staple cartridge 8000 and anvil supporting tissue. 仓体8010还包括限定于其中的紧固件腔,所述紧固件腔各自被构造成能够将紧固件诸如钉存储于其中。 The cartridge body 8010 further includes a cavity defined therein a fastener, the fastener are each chamber is configured to be a fastener such as staples stored therein. 每个紧固件腔包括近侧端部和远侧端部。 Each fastener includes a lumen proximal end and a distal end. 与每个紧固件腔的远侧端部相比,每个紧固件腔的近侧端部更靠近仓体8010的近侧端部8012,且相应地,每个紧固件腔的远侧端部更靠近仓体8010的远侧端部8014。 Compared with the distal end of the fastener of each chamber, it is closer to the proximal end of the cartridge body 8010 proximal end 8012 of each fastener chamber, and accordingly, each fastener distal chamber side end portion closer to the distal end of the cartridge body 8010 8014.

[0447] 除了上文所述,仓体8010包括从平台8016延伸的突出部。 [0447] In addition to the above, the cartridge body 8010 includes a projection 8016 extending from the platform. 在各种情况下,突出部可以任何合适的布置对准。 In each case, the protruding portion may be aligned in any suitable arrangement. 例如,远侧突出部8017可与紧固件腔的远侧端部相邻定位而近侧突出部8019可与紧固件腔的近侧端部相邻定位。 For example, the distal portion 8017 may be proximally projecting portion 8019 projecting from the proximal end of the fastener may be positioned adjacent the distal chamber end of the fastener is positioned adjacent the cavity. 类似于上文,远侧突出部8017和/或近侧突出部8019可被构造成能够当紧固件从紧固件腔顶出时引导存储在紧固件腔中的紧固件。 Similar to the above, the distal protrusion portion 8017 and / or proximal portion 8019 protruding fastener guide stored in the chamber when the fastener may be configured to enable the fastener when the fastener from the top of the chamber. 在这种情况下,远侧突出部8017和/或近侧突出部8019可使紧固件腔延伸超过平台8016。 In this case, the projecting distal portion 8017 and / or 8019 can extend proximally projecting portions exceeds 8016 fasteners internet cavity. 一些紧固件腔可具有相邻的远侧突出部8017和近侧突出部8019,而其它紧固件腔可仅具有其中之一。 Some of the fastener may have a distal cavity portion adjacent the protruding portion 8017 and the proximal protrusion 8019, and other fasteners may have only one chamber. 一些紧固件腔可既不具有与其相关联的远侧突出部8017,也不具有与其相关联的近侧突出部8019。 Some of the fastener distal chamber may have associated therewith neither protruding portions 8017, not having associated therewith a proximal portion 8019 protrudes.

[0448] 层8020包括层主体8026,所述层主体包括近侧端部8022和远侧端部8024。 [0448] layer 8020 comprises a layer of body 8026, the body layer comprises a proximal end 8022 and distal end 8024. 层主体8026的近侧端部8022邻近或相对于仓体8010的近侧端部8012定位且远侧端部8024邻近或相对于远侧端部8014定位。 Layer host 8026 or adjacent the proximal end 8022 relative to the proximal end of the cartridge body 8010, and 8012 positioned adjacent the distal end 8024 or 8014 is positioned relative to the distal end. 在某些情况下,层8026可包括固体材料片。 In some cases, layer 8026 can comprise a sheet of solid material. 在各种情况下,层主体8026可在限定于仓体8010中的一个或多个紧固件腔上延伸。 In each case, the body layer 8026 may be defined in the cartridge body on one or more fasteners 8010 extend cavities. 在至少一种这样的情况下, 层主体8026包括在紧固件腔上延伸的部分8025。 In at least one such case, the layer 8026 includes a body portion 8025 extending chamber on the fastener. 当紧固件从紧固件腔顶出时,紧固件可在其中捕获部分8025,从而将层8020保持到组织。 When the fastener from the fastener ejection chamber, wherein the fastener may capturing section 8025, thereby holding the tissue layers 8020. 在一些情况下,层主体8026可包括与仓体8010中的一些紧固件腔对齐的开口。 In some cases, the body layer 8026 may include a cartridge body 8010 with some of the fastener cavities aligned openings.

[0449] 层主体8026可包括限定于其中的孔,所述孔与从平台8016延伸的突出部对齐。 [0449] layer 8026 may include a body defining a hole therein, said hole extending from the projecting portion 8016 aligned with the platform. 例如,层主体8026可包括与至少一些远侧突出部8017对准的远侧孔8027和/或与至少一些远侧突出部8019对准的近侧孔8029。 For example, layer 8026 can include a body with at least some of the distal bore 8017 distally projecting portions 8027 are aligned and / or at least some of the proximal and distal bore 8029 of the projection 8019 is aligned. 在各种情况下,远侧孔8027和远侧突出部8017的尺寸和构型可被设定成使得在两者间存在间隙。 In each case, the hole 8027 and the distal portion 8017 of the distal projection sizes and configurations can be set so that a gap exists therebetween. 相似地,近侧孔8029和近侧突出部8019的尺寸和构型可被设定成使得在两者间存在间隙。 Similarly, the proximal bore portion 8029 and the proximal protrusion 8019 of the size and configuration may be set so that a gap exists therebetween. 在一些情况下,远侧孔8027和远侧突出部8017的尺寸和构型可被设定成使得在两者间存在过盈配合。 In some cases, the size of the hole 8027 and the distal protrusion portion 8017 and a distal configuration may be set so that an interference fit between the two existed. 另外,相似地,近侧孔8029和近侧突出部8019的尺寸和构型可被设定成使得其间存在干涉配合。 Further, similarly, the size of the proximal holes 8029 and 8019 and a proximal portion projecting configuration may be set so that an interference fit exists therebetween. 在至少一种这样的情况下,突出部与孔之间的干涉配合可将层8020可释放地保持到仓体8010。 In at least one such case, the interference between the projecting portion and the aperture layer 8020 can be fitted releasably to retain the cartridge body 8010. 在使用中,存储在仓体8010 中的紧固件可在紧固件从仓体8010顶出时接触层8020的部分8025,并且将层8020提升远离平台8016并使孔与突出部脱离接合。 In use, the fastener cartridge body 8010 is stored in the cartridge body from the contact layer portion 80258020 8010 when the fastener, and the layer is lifted away from the internet 8016 and 8020 and the projection is disengaged from the hole.

[0450] 层主体8026可包括孔8028,所述孔各自被构造成能够将远侧突出部8017和近侧突出部8019接收于其中。 [0450] Layers body 8026 may include holes 8028, each of the apertures being configured to enable a distal portion 8017 and the proximal protrusion 8019 protruding portion received therein. 每个孔8028可包括细长狭槽,所述细长狭槽具有被构造成能够接收远侧突出部8017的近侧端部以及被构造成能够接收近侧突出部8019的远侧端部。 Each aperture 8028 can comprise an elongated slot, said elongated slot has been configured to be able to receive proximal end 8017 and a distal protrusion portion is configured to be able to receive a proximal portion of the distal end portion 8019 of the projection. 在一些情况下,可在孔8028与突出部8017和8019之间存在间隙配合。 In some cases, there may be a clearance fit between the bore 8028 and projection 8017 and 8019. 在某些情况下,可在孔8028与突出部8017和8019之间存在间隙配合以将层8020可释放地保持到仓体8010。 In some cases, there may be a clearance fit to releasably hold the layers 8020 to 8010 between the cartridge body 8028 and bore 8017 and projection 8019. 在至少一种情况下,孔8028的尺寸和构型可被设定成拉伸以在其中容置远侧突出部8017和近侧突出部8019〇 In at least one instance, the size and configuration of the apertures 8028 may be set to be stretched to accommodate therein a distal portion 8017 and a proximal projection projecting portion 8019〇

[0451] 层8020可以可移除地附连到仓体8010。 [0451] layer 8020 may be removably attached to the cartridge body 8010. 在某些情况下,层8020的远侧端部8024可以可移除地附接到仓体8010的远侧端部8014。 In some cases, the distal end portion 8024 of the layer 8020 may be removably attached to the distal end portion 8010 of the cartridge body 8014. 在一些情况下,层8020的近侧端部8022可以可移除地附接到仓体8010的近侧端部8012。 In some instances, the proximal end portion 8022 of the layer 8020 may be removably attached to the proximal end portion 8010 of the cartridge body 8012. 在至少一个示例中,可利用附接部分8021来将层8020可释放地保持到仓体8010。 In at least one example, the attachment portion 8021 may be utilized by the layer 8020 to releasably retain the cartridge body 8010.

[0452] 层,诸如支撑材料,可由任何生物相容性材料制成。 [0452] layer, such as a supporting material, made of any biocompatible material. 支撑材料可由天然材料和/或合成材料形成。 The support material may be made of natural material and / or synthetic material. 支撑材料可为可生物吸收的和/或不可生物吸收的。 The support material may be bioabsorbable and / or non-bioabsorbable. 应当理解,可使用天然、 合成、可生物吸收和不可生物吸收材料的任意组合来形成支撑材料。 It should be understood that the use of natural, synthetic, bioabsorbable and non-supporting material formed of any combination of bioabsorbable material. 可制成支撑材料的材料的一些非限制性示例包括但不限于例如聚乳酸、聚乙醇酸、聚羟基丁酸酯、聚膦嗪、聚酯、 聚乙二醇、聚环氧乙烷、聚丙烯酰胺、聚羟乙基丙烯酸甲酯、聚乙烯吡咯烷酮、聚乙烯醇、聚丙烯酸、聚乙酸酯、聚己内酯、聚丙烯、脂肪族聚酯、甘油、聚(氨基酸)、共聚(醚酯)、聚亚烷基草酸酯、聚酰胺、聚(亚氨基碳酸酯)、聚亚烷基草酸酯、聚氧杂酯、聚原酸酯、聚磷腈及其共聚物、嵌段共聚物、均聚物、共混物和/或它们的组合。 Some non-limiting examples of support material can be made of materials including but not limited to, for example, polylactic acid, polyglycolic acid, polyhydroxybutyrate, polyphosphazine, polyester, polyethylene glycol, polyethylene oxide, poly acrylamide, polyhydroxyethyl acrylate, polyvinyl pyrrolidone, polyvinyl alcohol, polyacrylic acid, polyacetate, polycaprolactone, polypropylene, aliphatic polyesters, glycerin, poly (amino acids), copoly (ether esters), polyalkylene oxalates, polyamides, poly (iminocarbonates), polyalkylene oxalates, polyoxaesters, polyorthoesters, polyphosphazenes and copolymers, block copolymers, homopolymers, blends, and / or combinations thereof.

[0453] 可使用天然生物聚合物来形成支持材料。 [0453] Support materials may be formed using natural biopolymers. 合适的天然生物聚合物包括但不限于例如胶原、明胶、血纤维蛋白、纤维蛋白原、弹性蛋白、角蛋白、白蛋白、羟乙基纤维素、纤维素、 氧化纤维素、羟丙基纤维素、羧乙基纤维素、羧甲基纤维素、chitan、壳聚糖、和/或它们的组合物。 Suitable natural biological polymers include, but are not limited to, collagen, gelatin, fibrin, fibrinogen, elastin, keratin, albumin, hydroxyethyl cellulose, cellulose, oxidized cellulose, hydroxypropyl cellulose , carboxyethyl cellulose, carboxymethyl cellulose, Chitan, chitosan, and / or combinations thereof. 天然生物聚合物可与本文所述的其它聚合物材料组合以制备支撑材料。 Natural biological polymers may be combined with other polymeric materials described herein to produce the buttress material. 人和/或动物来源的胶原,例如I型猪或牛胶原、I型人胶原或III型人胶原,可用于形成支撑材料。 Human and / or animal derived collagen, e.g., type I porcine or bovine collagen, type I human collagen or type III human collagen, may be used to form the support material. 支撑材料可由变性胶原或通过加热或任何其它方法至少部分地损失其螺旋结构、主要由非水合链组成且分子量接近例如l〇〇kDa的胶原制成。 The support material may be denatured collagen or by heating or any other method of at least partially lost its helical structure, mainly non-hydrated chains and a molecular weight close l〇〇kDa made e.g. collagen. 术语"变性胶原"是指损失其螺旋结构的胶原。 The term "denatured collagen" means collagen which the loss of the helical structure. 用于本文所述的多孔层的胶原可为原生胶原或去端肽胶原,尤其是如通过胃蛋白酶消化和/或在如例如先前所述的温和加热之后所获得的。 The collagen used herein, a porous layer may be native collagen or atelocollagen, especially as described by pepsin digestion and / or after the previously described example, as obtained by mild heating. 胶原可能先前已通过氧化、甲基化、琥珀酰化、乙基化和/或任何其它已知过程进行化学改性。 Collagen may have been previously chemically modified by oxidation, methylation, succinylation, ethylation, and / or any other known process.

[0454] 在支撑材料为纤维材料的情况下,纤维可为适用于针织或机织的原丝或线,或者可为短纤维诸如常用于制备非织造材料的那些。 [0454] In the case where the support material is a fibrous material, the fibers may be those suitable for knitting or weaving raw silk or wire, or may be short fibers such as are commonly used in the preparation of nonwoven material. 纤维可由任何生物相容性材料制成。 Fibers can be made of any biocompatible material. 纤维可由天然材料或合成材料形成。 The fibers can be natural or synthetic material. 形成纤维的材料可为生物吸收性材料或非生物吸收性材料。 Fiber-forming material can be bioresorbable material or a bioabsorbable material. 应当理解,可使用天然、合成、生物吸收性和非生物吸收性材料的任意组合来形成纤维。 It should be appreciated that fibers may be formed using natural, synthetic, and any combination of bioabsorbable non-bioabsorbable material. 可制成纤维的材料的一些非限制性示例包括但不限于聚乳酸、聚乙醇酸、聚羟基丁酸酯、聚膦嗪、聚酯、聚乙二醇、聚环氧乙烷、聚丙烯酰胺、聚羟乙基丙烯酸甲酯、聚乙烯吡咯烷酮、聚乙烯醇、聚丙烯酸、聚乙酸酯、聚己内酯、聚丙烯、脂肪族聚酯、甘油、聚(氨基酸)、共聚(醚酯)、聚亚烷基草酸酯、聚酰胺、聚(亚氨基碳酸酯)、聚亚烷基草酸酯、聚氧杂酯、聚原酸酯、 聚磷腈及其共聚物、嵌段共聚物、均聚物、共混物和/或它们的组合。 Some non-limiting examples can be made of fibrous materials include, but are not limited to, polylactic acid, polyglycolic acid, polyhydroxybutyrate, polyphosphazine, polyester, polyethylene glycol, polyethylene oxide, polyacrylamide , polyhydroxyethyl acrylate, polyvinyl pyrrolidone, polyvinyl alcohol, polyacrylic acid, polyacetate, polycaprolactone, polypropylene, aliphatic polyesters, glycerin, poly (amino acids), copoly (ether ester) , polyalkylene oxalates, polyamides, poly (iminocarbonates), polyalkylene oxalates, polyoxaesters, polyorthoesters, polyphosphazenes and copolymers, block copolymers , homopolymers, blends, and / or combinations thereof. 在支撑材料为纤维材料的情况下,支撑材料可使用适用于形成纤维结构的任何方法来形成,所述方法包括但不限于例如针织、机织、非织造技术等。 In the case where the support material is a fibrous material, the support material may be formed using any method suitable to forming fibrous structures, including but not limited to, knitting, weaving, non-woven technology. 在支撑材料为泡沫的情况下,多孔层可使用适于形成泡沫或海绵的任何方法形成,包括但不限于例如组合物的冻干和冷冻干燥。 In the case where the support material is a foam, the porous layer may be formed using any method suitable to forming a foam or sponge including, but not limited to, lyophilization and drying the frozen composition.

[0455] 支撑材料可具有止血性质。 [0455] The support material may have hemostatic properties. 可用来提供具有辅助停止流血或出血的能力的支撑材料的材料的说明例包括但不限于例如聚(乳酸)、聚(乙醇酸)、聚(羟基丁酸酯)、聚(己内酯)、聚(二氧环己酮)、聚环氧烷、共聚(醚酯)、胶原、明胶、凝血酶、血纤维蛋白、血纤维蛋白原、纤维粘连蛋白、弹力蛋白、白蛋白、血红蛋白、卵清蛋白、多糖、透明质酸、硫酸软骨素、羟乙基淀粉、羟乙基纤维素、纤维素、氧化纤维素、羟丙基纤维素、羧乙基纤维素、羧甲基纤维素、壳聚糖、壳聚糖、琼脂糖、麦芽糖、麦芽糖糊精、藻酸盐、凝血因子、丙烯酸甲酯、聚胺基甲酸酯、氰基丙烯酸酯、血小板激动剂、血管收缩剂、明矾、钙、R⑶肽、蛋白、硫酸鱼精蛋白、ε_ 氨基己酸、硫酸铁、亚硫酸铁、氯化铁、锌、氯化锌、氯化铝、硫酸铝、乙酸铝、高锰酸盐、单宁、 骨蜡、聚乙二醇、岩藻 Materials used to provide an auxiliary support material having the ability to stop the bleeding or bleeding of explanatory examples include but not limited to, for example, poly (lactic acid), poly (glycolic acid), poly (hydroxybutyrate), poly (caprolactone), poly (dioxanone), polyalkylene oxides, copoly (ether esters), collagen, gelatin, thrombin, fibrin, fibrinogen, fibronectin, elastin, albumin, hemoglobin, ovalbumin proteins, polysaccharides, hyaluronic acid, chondroitin sulfate, hydroxyethyl starch, hydroxyethyl cellulose, cellulose, oxidized cellulose, hydroxypropyl cellulose, carboxyethyl cellulose, carboxymethyl cellulose, chitosan sugars, chitosan, agarose, maltose, maltodextrin, alginate, clotting factors, methacrylate, polyurethanes, cyanoacrylates, platelet agonists, vasoconstrictors, alum, calcium, R⑶ peptides, proteins, protamine sulfate, ε_ amino caproic acid, ferric sulfate, ethylene sulfate, iron chloride, zinc chloride, aluminum chloride, aluminum sulfate, aluminum acetate, permanganates, tannins, bone wax, polyethylene glycols, fucose 糖和/或它们的组合。 Sugar and / or combinations thereof. 对天然生物聚合物且特别是蛋白的使用可适用于形成具有止血性质的支撑材料。 Natural biopolymers and in particular the use of a protein applicable to forming the support material having hemostatic properties. 合适的天然生物聚合物包括但不限于例如胶原、明胶、 血纤维蛋白、纤维蛋白原、弹性蛋白、角蛋白、白蛋白和/或它们的组合。 Suitable natural biological polymers include, but are not limited to, collagen, gelatin, fibrin, fibrinogen, elastin, keratin, albumin, and / or combinations thereof. 天然生物聚合物可与任何其它止血剂组合以制备支撑物的多孔层。 Natural biopolymers porous layer of the support prepared in any combination with other hemostatic agents. 2013年7月30日公布的名称为"BUTTRESS AND SURGICAL STAPLING APPARATUS"的美国专利8,496,683的全部公开内容以引用方式并入本文。 Name July 30, 2013 published as "BUTTRESS AND SURGICAL STAPLING APPARATUS" the entire disclosure of US Patent 8,496,683 is incorporated by reference herein.

[0456] 以下专利的完整公开内容据此以引用方式并入本文: [0456] The complete disclosures of the patents are hereby incorporated by reference herein:

[0457] 公布于1995年4月4 日的名称为"ELECTROSURGICAL HEMOSTATIC DEVICE" 的美国专利5,403,312; [0457] published on April 4, 1995, entitled "ELECTROSURGICAL HEMOSTATIC DEVICE" US Patent No. 5,403,312;

[0458] 公布于2006年2 月21 日的名称为"SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" 的美国专利7,000,818; [0458] published on February 21, 2006, entitled "SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" US Patent No. 7,000,818;

[0459] 公布于2008年9月9 日的名称为"MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK" 的美国专利7,422,139; [0459] published on September 9, 2008, entitled "MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK" US Patent No. 7,422,139;

[0460] 公布于2008年12月16 日的名称为"ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS" 的美国专利7,464,849; [0460] published on December 16, 2008, entitled "ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS" US Patent No. 7,464,849;

[0461] 公布于2010年3月2 日的名称为"SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR" 的美国专利7,670,334; [0461] published on March 2, 2010, entitled "SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR" US Patent No. 7,670,334;

[0462] 公布于2010年7月13日的名称为"SURGICAL STAPLING INSTRUMENTS"的美国专利7,753,245; [0462] published on July 13, 2010, entitled "SURGICAL STAPLING INSTRUMENTS" US Patent No. 7,753,245;

[0463] 公布于2013年3 月12 日的名称为"SELECTIVELY 0RIENTABLE IMPLANTABLE FASTENER CARTRIDGE" 的美国专利8,393,514; [0463] published on March 12, 2013, entitled "SELECTIVELY 0RIENTABLE IMPLANTABLE FASTENER CARTRIDGE" US Patent No. 8,393,514;

[0464] 名称为"SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES"的美国专利申请序列号11/343,803 (现为美国专利7,845,537); [0464] entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES" U.S. Patent Application Serial No. 11 / 343,803 (now U.S. Patent No. 7,845,537);

[0465] 提交于2008年2月14 日的名称为"SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES"的美国专利申请序列号12/031,573; Name [0465] filed on February 14 for "SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES" US Patent Application Serial No. 12 / 031,573;

[0466] 提交于2008年2月15 日的名称为"END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT"的美国专利申请序列号12/031,873 (现为美国专利7,980,443); Name [0466] filed on February 15 as "END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT" US Patent Application Serial No. 12 / 031,873 (now US Patent 7,980,443);

[0467] 名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" 的美国专利申请序列号12/235,782 (现为美国专利8,210,411); [0467] entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" U.S. Patent Application Serial No. 12 / 235,782 (now U.S. Patent No. 8,210,411);

[0468] 名称为"POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM"的美国专利申请序列号12/249,117 (现为美国专利8,608, 045); [0468] entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM" U.S. Patent Application Serial No. 12 / 249,117 (now U.S. Patent No. 8,608, 045);

[0469] 提交于2009年12月24 日的名称为"MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY" 的美国专利申请序列号12/ 647,100(现为美国专利8,220,688); Name [0469] filed on December 24, 2009 for the "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY" US Patent Application Serial No. 12 / 647,100 (now US Patent 8,220,688);

[0470] 提交于2012年9月29日的名称为"STAPLE CARTRIDGE"的美国专利申请序列号12/ 893,461 (现为美国专利8,733,613); [0470] submitted in 2012 the name September 29 as "STAPLE CARTRIDGE" US Patent Application Serial No. 12 / 893,461 (now US Patent 8,733,613);

[0471] 提交于2011年2月28日的名称为"SURGICAL STAPLING INSTRUMENT"的美国专利申请序列号13/036,647 (现为美国专利8,561,870); Name [0471] filed on February 28, 2011 for "SURGICAL STAPLING INSTRUMENT" US Patent Application Serial No. 13 / 036,647 (now US Patent 8,561,870);

[0472] 名称为"SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS"的美国专利申请序列号13/118,241 (现为美国专利申请公布2012/ 0298719); [0472] entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS" U.S. Patent Application Serial No. 13 / 118,241 (now U.S. Patent Application Publication 2012/0298719);

[0473] 提交于2012年6 月15 日的名称为"ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE"的美国专利申请序列号13/524,049(现为美国专利申请公布2013/0334278); Name [0473] filed on June 15, 2012 as "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE" US Patent Application Serial No. 13 / 524,049 (now US Patent Application Publication 2013/0334278);

[0474] 提交于2013年3月13 日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,025; Name [0474] filed on March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,025;

[0475] 提交于2013年3月13 日的名称为"STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM"的美国专利申请序列号13/800,067; Name [0475] filed on March 13, 2013 as "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", US Patent Application Serial No. 13 / 800,067;

[0476] 提交于2006年1 月31 日的名称为"SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM"的美国专利申请公布2007/0175955; Name [0476] filed on January 31, 2006 for "SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM" US Patent Application Publication 2007/0175955;

[0477] 提交于2010年4月22 日的名称为"SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR"的美国专利申请公布2010/0264194 (现为美国专利8,308, 040),都据此以引用方式并入本文。 US Patent Application Name [0477] filed on April 22, 2010 for "SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR" publication 2010/0264194 (now US Patent 8,308, 040), are hereby reference incorporated herein.

[0478] 虽然本文已结合某些公开的实施方案对所述装置的多种实施方案作了描述,但也可以实施这些实施方案的许多修改形式和变型形式。 [0478] While the embodiment described herein has been disclosed in connection with certain embodiments of the various embodiments of the device has been described, but may be embodied in many modifications and variations of these embodiments. 另外,在公开用于某些部件的材料的情况下,可使用其它材料。 Further, in the case where the material for the disclosure of certain components, other materials may be used. 此外,根据多种实施方案,单个部件可被替换为多个部件,并且多个部件也可被替换为单个部件,以执行给定的一种或多种功能。 Further, according to various embodiments, a single component may be replaced by multiple components, and multiple components may be replaced by a single component, to perform a given function or functions. 上述具体实施方式和下述权利要求旨在涵盖所有这样的修改和变型。 It intended to cover all such modifications and variations of the above detailed description and the following claims.

[0479] 本文所公开的装置可被设计成在单次使用后被丢弃,或者其可被设计成使用多次。 [0479] The devices disclosed herein can be designed to be discarded after a single use, or it may be designed to be used multiple times. 然而,在任一种情况下,可修复装置以在至少一次使用之后重复使用。 However, in either case, the repair apparatus for reuse after at least one use. 修复可包括以下步骤的任意组合:拆卸装置,然后清洁或替换特定零件以及随后进行重新组装。 Reconditioning may include any combination of the following steps: disassembly of the device, and cleaning or replacement of particular pieces, and subsequent reassembly. 具体地讲, 可拆卸装置,且可选择性地以任何组合形式替换或移除装置的任意数量的特定零件或部件。 In particular, a detachable device, and selectively replaced or removed in any number of particular pieces or parts of the device in any combination. 在清洁和/或替换特定部件后,可重新组装装置以供随后在修复设施处或就在外科手术之前由手术团队使用。 After cleaning and / or replacement of particular parts, the device can be reassembled for subsequent reconditioning facility, or by a surgical team prior to surgery. 本领域的技术人员将理解,装置的修复可利用各种用于拆卸、清洁/ 替换和重新组装的技术。 Those skilled in the art will appreciate that reconditioning of a device can utilize a variety of techniques for disassembly, cleaning / replacement, and reassembly. 此类技术的用途以及所得的经修复装置均在本申请的范围内。 Within the scope of use of such techniques, and the resulting reconditioned device, are all of the present application. [0480] 优选地,本文所述的发明将在外科手术之前处理。 [0480] Preferably, the invention described herein will be processed before surgery. 首先,获得并且如果必要的话清洁新的或用过的器械。 First, access to clean and, if necessary, new or used instrument. 然后可对器械进行灭菌。 The instrument may then be sterilized. 在一种灭菌技术中,将器械放置在闭合且密封的容器中,诸如塑料或TYVEK袋中。 In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. 然后将容器和器械置于可穿透该容器的辐射场,例如γ辐射、X-射线或高能电子。 The container and instrument are then placed in the radiation field can penetrate the container, such as γ irradiation, X- rays, or high-energy electrons. 辐射杀死器械中和容器中的细菌。 The radiation kills bacteria and containers of equipment. 然后可将灭菌后的器械储存在无菌容器中。 The sterilized instrument can then be stored in the sterile container. 密封容器使器械保持无菌,直到其在医疗设施中被打开。 Sealed container keeps the instrument sterile until it is opened in the medical facility.

[0481] 尽管本发明已被描述为具有示例性的设计,但还能够在本公开的实质和范围内对本发明进行修改。 [0481] While the invention has been described as having an exemplary design, but it is also possible to modify the invention within the spirit and scope of the present disclosure. 因此本申请旨在涵盖采用本发明一般原理的任何变型、用途或修改型式。 This application is therefore intended to cover any variations uses, uses, or adaptations of the principles of the general version of the invention. 此外,本申请旨在涵盖归属于本发明所属技术中的已知或习惯做法的相对于本公开的此类偏呙。 Further, this application is intended to cover the phase attributable to known or customary practice in the art to which this invention for such partial Guo present disclosure.

[0482] 以引用方式全文或部分地并入本文的任何专利、公布或其它公开材料均仅在所并入的材料不与本公开所提出的现有定义、陈述或其它公开材料相冲突的范围内并入本文。 [0482] by reference in entirety or in part, incorporated herein any patent, publication, or other disclosure material are only within the scope of the incorporated material does not present disclosure with existing definitions proposed, statements, or other disclosure material conflicts incorporation of this article. 同样地并且在必要的程度下,本文明确阐述的公开内容取代了以引用方式并入本文的任何冲突材料。 As such, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. 任何以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分,仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。 Any of any material incorporated by reference herein, but is described herein with existing definitions, statements, or other disclosure material conflicts or portions thereof, not only the conflict between that incorporated material and the existing disclosure material incorporated herein by next degree.

Claims (22)

1. 一种与外科器械一起使用的紧固件仓,其中,所述紧固件仓包括: 仓体,所述仓体包括平台,其中多个腔限定在所述仓体中,其中每个所述腔包括在所述平台中的开口,并且其中所述平台包括周边; 多个钉,其中每个所述钉可移除地定位在所述腔中;和导轨,所述导轨沿所述平台的位于所述多个腔与所述周边中间的至少一部分延伸。 1. A fastener cartridge for use with a surgical instrument, wherein the fastener cartridge comprising: a cartridge body, the cartridge body includes a platform, wherein a plurality of cavities defined in said cartridge body, wherein each of the cavity comprises an opening in said platform and wherein said platform comprises a perimeter; a plurality of staples, wherein each of said staple may be removably positioned in the cavity; and a guide rail along the located on the platform of the plurality of cavities extending at least a portion of the periphery of the intermediate.
2. 根据权利要求1所述的紧固件仓,其中,所述导轨包括连续的组织接触表面。 The fastener cartridge according to claim 1, wherein said guide rail comprises a continuous tissue contacting surface.
3. 根据权利要求1所述的紧固件仓,其中,所述导轨包括非线性部分。 Fastener cartridge according to claim 1, wherein said rail includes a linear portion.
4. 根据权利要求1所述的紧固件仓,还包括: 近侧端部; 远侧端部; 在所述近侧端部与所述远侧端部之间延伸的第一侧面;以及在所述近侧端部与所述远侧端部之间延伸的第二侧面。 Fastener cartridge according to claim 1, further comprising: a proximal end; distal end; a first side surface between the proximal end and the distal end extends; and a second side surface extending between the end and the distal end of the proximal portion.
5. 根据权利要求4所述的紧固件仓,其中,所述导轨定位在所述远侧端部与所述腔中间。 Fastener cartridge according to claim 4, wherein said guide rails positioned intermediate the distal end of the cavity.
6. 根据权利要求4所述的紧固件仓,其中,所述导轨定位在所述腔与所述第一侧面中间。 The fastener cartridge according to claim 4, wherein said guide rails positioned intermediate the chamber and the first side surface.
7. -种紧固件仓,包括: 仓体,所述仓体包括: 被构造成能够支撑组织的平台,其中所述平台包括: 具有第一高度的第一纵向平台部分;以及第二纵向平台部分,所述第二纵向平台部分具有不同于所述第一高度的第二高度; 第一纵向排紧固件腔,所述第一纵向排紧固件腔限定在所述第一纵向平台部分中; 第二纵向排紧固件腔,所述第二纵向排紧固件腔限定在所述第二纵向平台部分中;以及突出部,所述突出部从所述第一纵向平台部分和所述第二纵向平台部分延伸;以及多个紧固件,所述多个紧固件可移除地存储在所述紧固件腔中。 7. - species fastener cartridge comprising: a cartridge body, said cartridge body comprising: a support platform is configured to be tissue, wherein the platform comprises: a first platform longitudinal height of the first portion; and a second longitudinal platform portion, said second portion having a longitudinal platform second height different than the first height; a first longitudinal row of fasteners cavity, said cavity defining a first longitudinal row of fasteners in said first longitudinal platform portion; a second cavity longitudinal row of fasteners, said second longitudinal row of fasteners in said second cavity defining portion longitudinal platform; and a protruding portion, the protruding portion from the first longitudinal portion and the platform the second longitudinally extending platform portion; and a plurality of fasteners, the plurality of fasteners removably stored in the fastener cavity.
8. 根据权利要求7所述的紧固件仓,其中,所述突出部跨越所述第一纵向平台部分和所述第二纵向平台部分。 8. The fastener cartridge according to claim 7, wherein the projecting longitudinal portion across the first portion and the second longitudinal platform deck portion.
9. 根据权利要求7所述的紧固件仓,其中,所述突出部横贯所述第一纵向平台部分和所述第二纵向平台部分。 Fastener cartridge according to claim 7, wherein said projection portion and said second longitudinal traversing platform portion of the first longitudinal internet.
10. 根据权利要求7所述的紧固件仓,其中,所述突出部包括顶部表面,并且其中所述顶部表面是平坦的。 10. The fastener cartridge according to claim 7, wherein said projecting portion includes a top surface, and wherein said top surface is flat.
11. 根据权利要求7所述的紧固件仓,还包括: 近侧端部; 远侧端部; 在所述近侧端部与所述远侧端部之间延伸的第一侧面;和在所述近侧端部与所述远侧端部之间延伸的第二侧面。 11. The fastener cartridge according to claim 7, further comprising: a proximal end; distal end; a first side surface between the proximal end and the distal end extends; and a second side surface extending between the end and the distal end of the proximal portion.
12. 根据权利要求11所述的紧固件仓,其中,所述突出部在横向于所述第一侧面和所述第二侧面的方向上延伸。 Fastener cartridge according to claim 11, wherein said projecting portion extends in a direction transverse to the first side and the second side.
13. 根据权利要求11所述的紧固件仓,其中,所述突出部在平行于所述远侧端部的方向上延伸。 Fastener cartridge according to claim 11, wherein said projecting portion extends in a direction parallel to the distal end portion.
14. 根据权利要求11所述的紧固件仓,其中,所述突出部使所述第一纵向排紧固件腔中的中间紧固件腔以及所述第二纵向排紧固件腔中的中间紧固件腔延伸。 14. The fastener cartridge according to claim 11, wherein said projecting portion of said first longitudinal row of fasteners in the intermediate chamber and the second chamber fastener longitudinal row of fasteners chamber the intermediate lumen extending fastener.
15. -种紧固件仓,包括: 仓体,所述仓体包括: 被构造成能够支撑组织的平台,其中所述平台包括: 第一纵向平台部分,所述第一纵向平台部分具有第一高度;和第二纵向平台部分,所述第二纵向平台部分具有不同于所述第一高度的第二高度; 第一纵向排紧固件腔,所述第一纵向排紧固件腔限定在所述第一纵向平台部分中; 第二纵向排紧固件腔,所述第二纵向排紧固件腔限定在所述第二纵向平台部分中; 从所述第一纵向平台部分延伸的第一突出部; 从所述第二纵向平台部分延伸的第二突出部;以及互连结构,所述互连结构连接所述第一突出部和所述第二突出部;和多个紧固件,所述多个紧固件可移除地存储在所述紧固件腔中。 15. - species fastener cartridge comprising: a cartridge body, said cartridge body comprising: a support platform is configured to be tissue, wherein the platform comprises: a first platform longitudinal portion, said first portion having a first longitudinal platform a height; internet and a second longitudinal portion, the second longitudinal portion having a platform different from the first height to a second height; a first longitudinal row of fasteners cavity, said cavity defining a first longitudinal row of fasteners in the first platform longitudinal section; a second cavity longitudinal row of fasteners, said second longitudinal row of fasteners in said second longitudinal cavity is defined in the platform portion; platform extending from the first longitudinal portion a first projecting portion; a second projecting portion extending longitudinally from said second platform portion; and an interconnect structure, the interconnect structure connecting the first protrusion and said second protrusion portion; and a plurality of fastening member, the plurality of fasteners removably stored in the fastener cavity.
16. 根据权利要求15所述的紧固件仓,其中,所述第一突出部、所述第二突出部和所述互连结构限定顶部表面,并且其中所述顶部表面是平坦的。 16. The fastener cartridge according to claim 15, wherein the first protrusion, the second protrusion portion and defining a top surface of the interconnect structure, and wherein said top surface is flat.
17. 根据权利要求15所述的紧固件仓,还包括: 近侧端部; 远侧端部; 在所述近侧端部与所述远侧端部之间延伸的第一侧面;和在所述近侧端部与所述远侧端部之间延伸的第二侧面。 17. The fastener cartridge according to claim 15, further comprising: a proximal end; distal end; a first side surface between the proximal end and the distal end extends; and a second side surface extending between the end and the distal end of the proximal portion.
18. 根据权利要求17所述的紧固件仓,其中,所述第一突出部和所述第二突出部在横向于所述第一侧面和所述第二侧面的方向上延伸。 18. The fastener cartridge according to claim 17, wherein the first protrusion and the second protrusion portion extending in a direction transverse to the first side and the second side.
19. 根据权利要求17所述的紧固件仓,其中,所述第一突出部和所述第二突出部在平行于所述远侧端部的方向上延伸。 19. The fastener cartridge according to claim 17, wherein the first protrusion and the second protrusion portion extending in a direction parallel to the distal end portion.
20. 根据权利要求17所述的紧固件仓,其中,所述第一突出部使所述第一纵向排紧固件腔中的中间紧固件腔延伸,并且所述第二突出部使所述第二纵向排紧固件腔中的中间紧固件腔延伸。 20. The fastener cartridge according to claim 17, wherein the first protrusion of the first longitudinal row of fasteners in the intermediate chamber cavity extending fastener, and the second protruding portion so that the second fastener longitudinal rows extending in the intermediate chamber fastener chamber.
21. -种与外科器械一起使用的紧固件仓,其中,所述紧固件仓包括: 仓体,所述仓体包括平台,其中多个腔限定在所述仓体中,其中每个所述腔包括在所述平台中的开口,并且其中所述平台包括周边; 多个钉,其中每个所述钉可移除地定位在所述腔中;以及用于控制组织相对于所述平台的流动的组织流动控制装置,所述平台相对于所述腔侧向地定位。 21. - fastener cartridge for use with a surgical instrument with the species, wherein said fastener cartridge comprising: a cartridge body, the cartridge body includes a platform, wherein a plurality of cavities defined in said cartridge body, wherein each of the cavity comprises an opening in said platform and wherein said platform comprises a perimeter; a plurality of staples, wherein each of said staple may be removably positioned in the chamber; and means for controlling the relative tissue grain flow control means the flow of the platform, the said platform positioned laterally with respect to the chamber.
22. 根据权利要求21所述的紧固件仓,其中,所述组织流动控制装置相对于所述腔纵向地定位。 22. The fastener cartridge according to claim 21, wherein said tissue of said flow control device positioned longitudinally with respect to the chamber.
CN201580032277.5A 2014-04-16 2015-04-15 Fastener cartridge comprising tissue control features CN106456175A (en)

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US14/319,002 US9877721B2 (en) 2014-04-16 2014-06-30 Fastener cartridge comprising tissue control features
PCT/US2015/025855 WO2015160877A1 (en) 2014-04-16 2015-04-15 Fastener cartridge comprising tissue control features

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US5452837A (en) * 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
EP1316290A2 (en) * 2001-11-28 2003-06-04 Ethicon Endo-Surgery (Europe) GmbH Surgical stapling instrument
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